ENROLMENT APPLICATION FORM - Bar Council of Gujarat

IDENTITY CARD APPLICATION FORMFrom : ____________________________________________________ToThe Secretary,The Bar Council of Gujarat3 rd Floor, Satyamev Complex,Opp. High Court Complex,Sola, Ahmedabad-380 060(Gujarat State)Ph : 079-27663460, 27434073Sub : Issuance of Identity Card…Sir,I desire to have Identity Card as per the Rules framed by the Bar Council of Gujarat.I am sending herewith my two latest pass-port size photographs in Court Dress (Oneaffixed on this form & another on the slip) and Photo copy of the Enrolment IntimationLetter/ Sanad Certificate). The sum of Rs.50/-(Rupees Fifty Only) being the cost ofIdentity Card is also sent herewith in Cash/Money Order.My particulars are as under :1. Name :_____________________________________________________(In Block letter) Name Father’s Name Surname2. Address:_____________________________________________________________________________________________________________________________________________________________Pin-Code: __________________e-mail add: _______________________ Mobile__________________(Off.)___________________(Resi.)________________________Blood Group :________________3. Enrolment No :________________4. Date of Birth :________________I have read the Rule prescribed by theBar Council in this regard printed on reverseand I undertake to abide by the same.Date :AffixPhotohere______________________Signature of the applicant_____________________________________________________________(For office use only)Received Rs.50/- by Cash/ Money Order Received Identity Card On_________Receipt No.___________ Date ___________ Signature ________________________Signature ___________________________ Dispatched on____________________