Application For Empanelment of Advocates
Application For Empanelment of Advocates
S. No Particulars Details
1 Name of the Firm/LLP
Name in full all Partners/Individual
2
Advocate
3 Date of Birth/Incorporation
Address Office with Telephone
4
Number
Address Residence with
5
Telephone Number
6 Email Address
Academic Qualifications of all
Partners/Individual Advocate
7 (Enclose proofs of all
Qualifications mentioned
hereunder)
Details of Partners Name of the Contact Registration
8 (Please attach separate sheet if Partner Details date at Bar
required)
Details of partners who are Name of the Partner Date of Examination
9 qualified as Insolvency Passed
Professionals
Details of Banks with which the Name of the Partner Name(s) of the Bank
Firm/Partner(s) are empaneled
10
with
11 Registration Number
Whether practicing in NCLT/ Civil/
12
Criminal/Other
13 Principal Place of practice
14 Place of practice for NCLT Matter
15 Other Courts appearing in (Place)
Whether you are appearing on
behalf of any Bank/ Financial
16
Institution/ Operational Creditor/
Corporate Debtor? Details thereof.
Have you been de-panelled any
17
time? Give Details
1. Detailed profile
2. Bar council certificate
3. Certificate of practice (If any)
4. KYC Documents (Self Attested copies of PAN/ Aadhar)
5. Educational qualification Certificates- LLB/LLM degree certificate
6. Letters of Existing Empanelment.
7. In case of partnership firm- PAN of Firm & Registration certificate
Declaration :
1. I hereby confirm and declare that the information given here in above is true and correct to the
best of my knowledge and belief.
2. In case there is any change in the status of the position indicated above, the same shall be
communicated to KJSB forthwith.
4. We are not related to Directors or Key Managerial Personnel of the Bank as per Related Party
definition.
I request you to consider my name for empanelment in the Bank’s Panel of Advocates
Authorized Signatory
(Name:-…………………………...)
Date :
Place :