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Application For A Practicing Certificate
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Application For A Practicing Certificate
Name of Firm
Year Ending 31 December
Yes
No
Paying From
Period Ending
Full Names of Applicant(s):
Qualified Assistants
Address At Which Business Will Be Carried Out:
Other Place(s) of Business With Name of Person in Charge:
Other Place(s) of Business With Name of Person in Charge:
Are You A Returning Firm Coming Back into Practice?
Yes
No
Are You Required By Section 13 of The Act to Keep A Trust Account?:
Yes
No
Date When Trust Books of Applicant(s) or The Firm Will Be Closed Next:
Is a Limited Practicing Certificate Being Sought?
Yes
No
Have You Practiced Law in Any Other Jurisdiction in The Past 5 years?
Yes
No
If Yes, Please Name The Jurisdiction(s)
Are You Having or Have You Faced Disciplinary Action With The Bar Association or Council of The Indicted Jurisdiction or Any Other?
Yes
No
I/We, being the above-named applicant(s), do hereby certify that the facts set above are, to the best of my/our knowledge and belief, true and correct.
Yes
No
Date When Applying:
Date Applied
Only fill in if you are not human
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Telephone: +263-24-2751-000, +263-24-2779-207
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