FORMAT OF APPLICATION BY ADVOCATES FOR EMPANELMENT BY MEDICOS LEGAL ACTION GROUP (MLAG)
- Date of birth Age (as on …. )
- Educational qualifications
- Date of Enrolment, Name of Bar Council (Copy of enrolment certificate must be attached)
- Period of practice
- Details of Experience/practice
- Area of practice
- Specialization, if any (Consumer/ criminal/ PCPNDT etc.) The details of a few important cases the Advocate has dealt with/handled and reported Judgment if any.
- Whether Govt. counsel/pleader (indicate period)]
- Brief list of clients e.g. Govt./organizations/Commissions/PSUs
- The courts where the Advocate is regularly practicing (Enclose Bar Association Membership Certificate)
- Date of enrolment as an Advocate – on – Record(AOR) of the Supreme Court and Registration No.
- PAN number
- Experience of Consumer Courts, Criminal courts
i) I declare that I have never been penalized by any bar council in any Disciplinary Proceedings.
ii) I also undertake to maintain absolute secrecy about the cases of the MLAG members and MLAG
iii) I agree with the Fee Schedule notified by MLAG.
Signature of Advocate
Address (office &residence/chamber)
Phone No. Mobile No. Fax No.