BAR COUNCIL OF TAMIL NADr & PUDUCHERRY
NEW/RENEWAL APPLICATIONFOR IDENTITY CARD
To
The Secretary                                                                                  "Affix a
 Bar Councll of TamilNadu & Puducherrv.                                                       Passport
Bar Council Building, High Court Canmpus,                                                   Size Photo "
    Chennal - 600 104.
                                     Should be FIlled In BLOCKLetters
1.         Name of the Applicant:
2.         Father's Name:
 3.        Date of Birth of the Applicant:
                                                       DD       MM           YYYY
4           Address:*
                                                                 Pin Code:
*Enclose any one of the address proof recognized býState/Central government.
5           Roll No.                                   Ms.
6.          Date of Enrolment as an Advocate:
                                                        D D M M Y Y Y
    7.      Blood    Group:
 8.         Place of Practice:
 9           Name of Bar Association:
    10.      Phone/Mobile Number:
     11.      E-mail ID
      I, hereby enclose the following documents and request you to issue the ldentity Card.
          Enclose:- The proof of payment for Rs.150/- favouring "Secretary, Bar Council of
         Tamll Nadu, Chennal" along with two Passport Size.Colour Photographs in Advocate
     Dress (Black Coat with Neckband).
         Ihereby declare that the above information furnished by me is true and correct.
      Place:
         Date:
                                                                        SIGNATURE OF APPLICANT
         Seal of the Bar Association
         Place:
         Date:                                                           Signature of Presiden/Secretary
                                                                               of the Bar Association
         Note: Payment can be made via Indian Bank-V-colloct(Account no-V00043+your Enrolment number and
         year) or through NEFT in any other nationalized Bank (ndlan Bank,High Court Branch IFSC Code -
          IDIB000M157).