FORMAT OF APPLICATION BY ADVOCATES FOR EMPANELMENT BY MEDICOS LEGAL ACTION GROUP (MLAG)

Name
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
Declarations

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.
Email ID