1

jkT; fof/kK ifj"kn~ mRrj izns'k

BAR COUNCIL OF UTTAR PRADESH
19] egf"kZ n;kuUn ekxZ] iz;kxjkt&211001
19, Maharshi Dayanand Marg, Prayagraj- 211001
Phone: 0532-3535759, 0532-3500547

'kqYd fooj.k ¼dsoy dk;kZy; iz;ksx gsrq½

:0-------------------------------jlhn la[;k---------------------------------------------izkIrdrkZ-----------------------fnukad------------------ Paste your recent

passport size color
photo in coat tie
attested by Member
:0-------------------------------jlhn la[;k---------------------------------------------izkIrdrkZ-----------------------fnukad------------------
Bar Council/First Class
Magistrate

iathdj.k 'kqYd izkIr fd;k

ys[kkiky

vkosnu i= la[;k----------------------------------------------------------------QkeZ izkIr djus dh frfFk-------------------------------------

¼vf/koDrk vf/kfu;e 1961 ds vUrxZr½
Jh@dqekjh@Jherh------------------------------------------------------------------ekrk dk uke Jherh------------------------------------------
iq=@iq=h@iRuh Jh----------------------------------------------------------------------------------tuin--------------------------------------------
ds iathdj.k ds lEcU/k esa
uksV% dk;kZy; ekg ds izR;sd eaxyokj ,oa f}rh; cq/kokj rFkk jk"Vªh; vodk’k ds fnu cUn jgsxkA
 2

Character Certificate to be attested by Hon’ble Member Bar Council or

An Advocate on the roll of BCUP for more than 10 years
pfj= izek.k&i=
eSa izekf.kr djrk@djrh gw¡ fd Jh@dq0@Jherh------------------------------------------------------------------ iq=@iq=h@iRuh Jh--------------
---------------------------------------dks eSa O;fDrxr :i ls tkurk@tkurh gw¡A ;s lPpfj= gS vkSj vf/koDrk iathdj.k gksus
;ksX; mi;qDr gSA

fnukad%----------------------------- gLrk{kj
iw.kZ uke------------------------------------------------------------------------------
inoh-----------------------------------------------------------------------------------
vf/koDrk iathdj.k la[;k--------------------------------------------
iw.kZ irk----------------------------------------------------------------------------------

dk;kZy; dk izfrosnu

vkosnd Jh@dq0@Jherh----------------------------------------------------------------------------------------iq=@iq=h@iRuh Jh---------------------------------------

---------------------------fo'ofo|ky; ds---------------------------------------fof/k Lukrd gS rFkk bl izdkj ;s lu~ 1961 bZ0 ds
,MoksdVs ~l vf/kfu;e dh /kkjk 24¼1½ [k.M Mh ds micU/k 1 ds vUrxZr vf/koDrk gksus ds vf/kdkjh gSaA

iathdj.k fyfid
izfrosnu
lu~ 1961 ds ,MoksdVs ~l vf/kfu;e dh /kkjk 24 ds vUrxZr vkosnd dks ,d vf/koDrk iathd`r dj fy;k tk;sA

frfFk-------------------------------------- lfpo

iathdj.k lfefr dk vkns'k

¼1½ vkosnd Jh@dq0@Jherh-------------------------------------------------------------------------------------------------------------------------------------- iq=@iq=h@iRuh
Jh-------------------------------------------------------------------------------------------------------------------dk uke lu~ 1961 bZ0 ds ,MoksdsV~l vf/kfu;e ds
izkfo/kku ds vUrxZr vf/koDrk ds :i esa iathd`r dj fy;k tk;s @ u fd;k tk;sA

----------------------------------- ------------------------------- ----------------------------------

lnL; lnL; lnL;

iathdj.k izek.k&i= rS;kj djus dh frfFk----------------------------------------------------------------------------------

iathdj.k izek.k&i= la[;k--------------------------------------------------------------------------------------------------------------

gLrk{kj fyfid fujh{k.k drkZ

 3

CATALOGUE FOR BAR COUNCIL OF UTTAR PRADESH

(TO BE FILLED BY OFFICE)

Photograph In
Enrollment No. ....................................
Coat Tie Duly
U.P. ....................................
Attested By
Date of Enrollment .................................... Member Bar
Council Of U.P or
Application No. Year Date
First Class
Magistrate

(TO BE FILLED BY APPLICANT)

1.Name (In Full and Capitol Letters) As per LL.B Certificates Sri/Km./Smt.

2.Father's /Husband's Name (In full) Sri.

3. Date of Birth : DD MM: YYYY:

4. Sex : Male: Female:

5. Marital Status : Unmarried : Married:

6.Category : SC: ST: OBC: General:

7. Resident (Specify State)

8. Permanent Address

Mobile PIN:

9. Local Address

Mobile PIN:

10. Place of Practice:

Distt. H.Q.:
11. Name of Subordinate Court:

Teshil:
 4

12. Educational Qualifications : ¼uksV%&vkosnu i= ds lkFk gkbZLdwy ls fof/kLukrd rd ds lHkh

vadi= ,oa izek.ki= dh Loizekf.kr Nk;kizfr layXu djuk vfuok;Z gSA ½
Board/ Name of Duration of Percentage of
SL Academic Passing Regular/
Exam Passed Univers Institute/ Completion of Obtained
No. Session year Private
ity College Exam(in year) Marks

a. High School

b. Inter

B.A. B.Com.
c.
B.Sc.
d. LLB
e. Any other

N.B:- Ascertain LLB Degree obtained by affiliated college/university is recognized by Bar Council of
India.

Signature of the Candidate

13. Whether engaged in any business, trade or service at persent or before:

Y N
13 (a) if yes in column 13 then give details below :

Si Period(from- Designation/ Nature Address of Reason of Closer/End

Occupation
No. to-) of Work Employers of Occupation

1. Service

2. Business

3. Trade
Note: Enclose proof of discharge/closer/ending of above occupation/service by competent
authority
Signature of the Candidate
Date :
Place:
(Name in full)

----------------------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
Checked by me and found correct/incorrect. Age of applicant is aboe 21 year as per High
School Certificate.

Checked By Signature
आवेदन पत्र मे ननम्न कममया है
 5

?kks"k.kk
eSa -------------------------------------------------------------------------------------------------------------------------------iq=@iq=h@iRuh Jh-------------------------------------------------------------
vf/koDrk gksus ds fy;s ckj dkSafly vkWQ mRrj izn's k ds le{k fu;fer iathdj.k gsrq vkosnd fu"BkiwoZd izfrKk
djrk@djrh gw¡ vkSj fuEufyf[kr ?kks"k.kk djrk@djrh gw¡ fd%&
1- eSa 21 o"kZ dh vk;q iwjh dj pqdk@pqdh gw¡A
2- viuk uke iathd`r gksus dh frfFk ls lk/kkj.k mRrj izn's k ckj dkSafly ds vf/kdkj ls eSa fu;fer :i ls fof/k
O;olk; d:¡xk@d:¡xhA
3- 'kklu vFkok fdlh vU; foHkkx esa eSa fu;qDr ugha gw¡A
4- eSa dksbZ vU; O;kikj vFkok dkjksckj ugha djrk@djrh gw¡A
5- fdlh jkT; dh ckj dkSafly vFkok Hkkjr ds fdlh vU; U;k;ky; vFkok mPpre~ U;k;ky; }kjk vf/koDrk
iathdj.k dk esjk vkosnu i= dHkh vLohdkj ugha fd;k x;k gSA
6- eSa Hkkjrh; ukxfjd gw¡A
7- eSa fyf[kr ?kks"k.kk dj jgk@jgh gw¡ fd eSa viuh ;ksX;rk vkSj vPNs ls vPNs vius Kku ls ,d ,MoksdsV ds
dk;Z ,oa O;ogkj dk oLrqr% bZekunkjh ls fuokZg d:¡xk@d:¡xh vkSj iathd`r vf/koDRkvksa dk O;ogkj
fofu;fer djus ds fy;s ckj dkSafly }kjk cuk;s x;s fu;eksa dk fu"BkiwoZd ikyu d:¡xk@d:¡xhA
8- eSa ?kks"k.kk djrk@djrh gw¡ fd Hkkjrh; lafo/kku ds izfr fu"Bk ,oa J)k j[kax w k@j[kwx a hA
9- eSa ?kksf"kr djrk@djrh gw¡ fdfdlh lsok esa ;qDr gksus] O;kikj dkjksckj vFkok fHkUu o`fRr djus ij viuk
vf/koDrk izek.k&i= ckj&dkSafly dks rqjUr lefiZr dj nw¡xk@nw¡xhA
10- eSa ?kksf"kr djrk@djrh gw¡ fd fof/k O;olk; ds vius lk/kkj.k LFkku vFkok mlds ifjorZu dh lwpuk ckj
dkSflay dks nwx a k@nwaxhA
11- eSa ?kksf"kr djrk@djrh gw¡ fd eSasu fof/k Lukrd mikf/k ckj dkmafly vkQ bf.M;k ls ekU;rk izkIr fof/k
laLFkku@egkfo|ky;@fo'ofo|ky; ls izkIr fd;k gSA
12- eSa ?kksf"kr djrk@djrh gw¡ fd eSa dHkh uSfrd] vijkf/kd ;k vLi`';rk ds nks"k esa nf.Mr ugha gqvk@gqbZ gw¡A esjs
fo:) Hkkjrh; n.M lafgrk vFkok vU; fdlh ,DV dk dksbZ eqdnek fdlh Hkh QkStnkjh U;k;ky; esa
fopkjk/khu ugah gS vkSj u gh fdlh vkijkf/kd dsl esa esjh fxj¶rkjh gqbZ] vkSj u gh esjs fo:) iqfyl }kjk
dksbZ foospuk py jgh gSA
13- eSa ?kksf"kr djrk@djrh gw¡ fd vf/koDrk ds :i esa ckj dkSafly }kjk vf/koDrk iathd`r fd;s tkus ds ckn esjs
fo:) Moral Turpitude ds vUnj vkus okyk dksbZ Hkh vkijkf/kd okn ;k ,Q0vkbZ0vkj0 dk;e gksrk gS
rks ifjokn dh izfrfyfi mRrj izn's k ckj dkSafly dks mDr rF; dh tkudkjh gksus dh frfFk ls rhu ekg ds
vUnj jftLVMZ Mkd ls izsf"kr dj nwaxk@nwx a h rFkk bl ckr dks Hkh lqfuf'pr d:¡xk@d:¡xh fd izfr
dk;kZy; dks fey xbZ gSA
¼v½ eSa ?kksf"kr djrk@djrh gw¡ fd mijksDr ifjokn ;k eqdnesa esa tks Hkh vfUre fu.kZ; gksxk bl fu.kZ; dh
lR;&izfrfyfi dks Hkh fu.kZ; dh frfFk ls rhu ekg ds vUnj ckj dkSafly vkQ mRrj izn's k dks lR;&izfrfyfi
ds lkFk jftLVMZ Mkd ls izsf"kr dj nwx a k rFkk bl ckr dks Hkh lqfuf'pr d:¡xk@d:¡xh fd izfr fey xbZ gSA
¼c½ eSa ?kksf"kr djrk@djrh gw¡ fd vf/koDrk ds :i esa iathd`r gksus ds i'pkr eSa vius thou ;kiu gsrq fdlh vU;
O;kikj ;k O;olk; ;k ukSdjh ;k vU; izksQs'ku dks thfodksiktZu ds lk/ku ds :i esa ugha
viukÅ¡xk@viukÅ¡xh A ;fn eSa ,slk djrk@djrh gw¡ rks ,slk djus ds ckn vf/koDrk ds :i esa ewy vf/koDrk
iathdj.k izek.k&i= ckj dkSafly mRrj izn's k dks lefiZr djuk fuf'pr d:axk@d:axhA ,slk u djus ij ;g
d`R; esjs }kjk ckj dkSafly mRrj izn's k ds izfr ÝkWM ekuk tk;sxk vkSj Hkkjrh; n.M fo/kku ds vuqlkj n.Muh;
vijk/k gksxkA
14- eSa fu"BkiwoZd ?kksf"kr djrk@djrh gw¡ fd [k.M 1 ls [k.M ¼13½ esa nh xbZ leLr lwpuk tks esjs iathdj.k ls
lEcfU/kr gS] esjs Kku ,oa fo'okl ls lR; gSA blesa u dqN fNik;k x;k gS vkSj u dksbZ Hkkx vlR; gSA
15- eSa ?kksf"kr djrk@djrh gw¡ fd eSaus ckj dkSafly vkQ bf.M;k }kjk fufeZr [k.M 6 esa of.kZr pSIVj 1 ls pSIVj 4
esa fn;s x;s ¼iathdj.k QkeZ ds lkFk layXu½ leLr fu;eksa dks HkyhHkkafr v/;;u dj fy;k gS ftudk ikyu
iathdj.k ds ckn iwjh fu"Bk ds lkFk fu;fer :i ls d:¡xk@d:¡xhA
16- eSa ?kksf’kr djrk@djrh gwa fd eSus “kSf{kd izek.k i=@lsokfuo`fRr izek.k i= dh Loizekf.kr izfrfyfi nkf[ky
dh gS] os iw.kZr;k lgh gSaA ;fn os xyr ik;s tkrs gSa rks ckj dkmfUly mRrj izn”s k dks ;g vf/kdkj gksxk fd
og iathdj.k fujLr dj nsa vkSj vU; dk;Zokgh djus ds fy;s ckj dkmfUly mRrj izn”s k LorU= gSA

eSa LFkku ¼iw.kZ fooj.k ns½a -------------------------------------------------------------------------------------------------------------- O;olk; ¼izSfDVl½ djuk

pkgrk@pkgrh gw¡A
LFkku%------------------------------- vkosnd dk Li"V uke---------------------------------------------------
fnukad----------------------------- vkosnd@vkosfndk ds gLrk{kj------------------------------------
 6

lsok es]a
lfpo]
jkT; fof/kK ifj"kn m0iz0
iz;kxjktA
Jh@dqekjh@Jherh--------------------------------------------------------------------------------------------------------------------------------------- iq=@iq=h@iRuh
Jh----------------------------------------------------------------------------------------------------------------------------------------- LFkkbZ fuoklh xzke@eks0------------------------
-----------------------------------------------iksLV-------------------------------------------------- Fkkuk------------------------------------------------ftyk--------------------------------------
fiu ua0--------------------------------dk vkosnu i= }kjk fou;iwoZd fuosnu gS fd%&

1- eSa vkosnd Hkkjrh; ukxfjd gw¡ ,oa esjh vk;q 21 o"kZ ls vf/kd gSA eSa] vf/koDrk vf/kfu;e 1961 ds
vUrxZr vf/koDrk ds :i esa iathd`r gksus gsrq jkT; fof/kK ifj"kn mRrj izn's k ds le{k bl vkosnu
i= ds ek/;e ls izkFkhZ@izkfFkZuh gw¡A

2- vko’;d fooj.k fuEufyf[kr gS%&

¼d½ uke ¼vaxzsth es½a Sri/Km./Smt.

¼fgUnh esa½ Jh@dq0@Jherh----------------------------------------------------------------------------------------------------------------------------------------

¼[k½ firk dk uke ¼vaxzsth es½a Sri

¼fgUnh esa½ Jh-------------------------------------------------------------------------------------------------------------------------------------------------------------------

3- tUe frfFk vadks esa-----------------------------'kCnksa esa--------------------------------------------------------------------¼gkbZ Ldwy izek.k&i= esa

mfYyf[kr½
 7

vko';d funsZ”k ,oa 'kqYd fooj.k

ekuuh; mPpre U;k;ky; }kjk fjV fiVh”ku ¼lh½ ua0 352@2023 xkSjo dqekj cuke ;wfu;u vkWQ bf.M;k ,.M vnlZ esa
ikfjr vkns”k fnukad 30-07-2024 ds ifjis{z ; esa o ekuuh; mPpre U;k;ky; }kjk fjV fiVh”ku ¼flfoy½ ua0 82@2023 vt; “kadj
JhokLro cuke ckj dkmafly vkWQ bf.M;k ,.M ,unj esa ikfjr vkns”k fnukad 10-04-2023 o ekuuh; mPp U;k;ky;] bykgkckn
}kjk fjV lh ua0 42619@2023 iou dqekj nwcs cuke LVsV vkWQ ;w0ih0 ,.M 3 vnlZ esa ikfjr vkns”k fnukafdr 21-12-2023 ds
ifjizs{; esa fuEuor fu;e cuk;s tkrs gSa %&

1- iathdj.k QkeZ vH;FkhZ vkuykbu MkmuyksM dj ldrs gSa] ftldk dksbZ “kqYd ugha fy;k tk;sxkA

2- iathdj.k QkeZ ds lkFk lkekU; o fiNM+h tkfr ds vH;FkhZ dks :i;s 600@& dk cSad MªkQ~V Bar Council of Uttar
Pradesh, Allahabad ds uke ls rFkk :i;s 150@& dk cSad MªkQ~V Bar Council of India Collection Fund Account,
Allahabad ds uke ls rFkk vuqlfw pr tkfr@vuqlfw pr tutkfr ds vH;FkhZ dks :i;s 100@& dk cSad MªkQ~V Bar Council of
Uttar Pradesh, Allahabad ds uke ls rFkk :i;s 25@& dk cSad MªkQ~V Bar Council of India Collection Fund
Account, Allahabad ds uke ls ns; gksxkA

3- QkeZ tek gksus ds i'pkr~ ,d ekg ds Hkhrj lHkh 'kS{kf.kd izek.k&i=@vadi= lacfa /kr cksMZ o fo'ofo|ky; dks lR;kiu
gsrq izsf"kr dj fn;k tk,xkA lkFk gh iqfyl osfjfQds'ku ds fy, izR;sd ftys ds ofj’B iqfyl v/kh{kd@iqfyl v/kh{kd dks ,d
ekg ds vUnj iqfyl osfjfQds'ku gsrq Hkst fn;k tk,xkA

lkFk gh ofj’B iqfyl v/kh{kd@iqfyl v/kh{kd dks bl vk”k; ds lkFk i= Hkstk tk;sxk fd ;fn fdlh vH;FkhZ ds fo:)
dksbZ eqdnek yfEcr gS] rks 45 fnu ds vUnj vk[;k izsf’kr djsa rFkk ftu vH;fFkZ;ksa ds fo:) dksbZ ekeyk yfEcr ugha gS] muds
lEcU/k esa fdlh izdkj dh vk[;k nsus dh vko”;drk ugha gSA ;fn 45 fnu ds vUnj lEcfU/kr vH;FkhZ ds fo:) dksbZ vk[;k izkIr
ugha gksrh gS rks ;g eku fy;k tk;sxk fd mDr vH;FkhZ ds fo:) dksbZ eqdnek iathd`r ugha gSA

4- iqfyl osfjfQds'ku o 'kS{kf.kd izek.k&i=ksa ds lR;kiu ds i'pkr~ lacaf/kr fyfid 15 fnol ds vUnj viuh vk[;k ds
lkFk lHkh i=kofy;ka lfpo] ckj dkmafly] m0iz0 ds lEeq[k dkm.Vj&lkbu gsrq izLrqr djsxasA

5- lfpo] ckj dkmafly] m0iz0 vxys 15 fnol ds Hkhrj dkm.Vj&lkbu ds i'pkr~ lacaf/kr i=koyh iathdj.k foHkkx dks
vxzlkfjr djsxa As

6- iathdj.k foHkkx ds lacaf/kr deZpkjh i=koyh izkfIr dh fnukad ls 30 fnol ds Hkhrj iathdj.k lfefr ds le{k mDr
i=kofy;ka izLrqr djsxa asA

7- lHkh iathdj.k lfefr;ksa ls visf{kr gS fd ,slh i=kofy;ka tks muds lEeq[k izLrqr gks]a mUgsa viuh lqfo/kkuqlkj lEcfU/kr
izkFkhZx.k dks O;fDrxr lk{kkRdkj ds fy, lfpo] ckj dkmafly vkWQ mRrj izn”s k dks lwfpr dj rhu lIrkg ds vUnj frfFk fu'pr
djds cqyk;saxs] rnksijkUr 'kh?kz fu.kZ; ysxa As ;fn vH;FkhZ lk{kkRdkj esa mRrh.kZ ugha gksrs gSa rks 03 ekg ckn iqu% lk{kkRdkj fy;k
tk;sxkA

8- bl leLr izfØ;k ds i'pkr~ vLFkk;h iathdj.k iznku fd;k tk;sxk tks nks o"kZ gsrq oS/k ,oa ekU; gksxkA
9- nks o"kZ esa izR;sd ,sls vH;FkhZ ftudk iathdj.k gks pqdk gS] izR;sd o"kZ ds ik¡p eqdnesa Lo;a nkf[ky fd;s gq;s ;k cgl
fd;s gq;s ;k lgk;d ds :i esa dk;Z fd;s gq;s] ftuesa mudk uke vk;k gks] dk fooj.k izLrqr djsaxs o blh chp vkWy bf.M;k ckj
ijh{kk ¼AIBE½ mRrh.kZ djsaxs rRi'pkr~ gh LFkk;h iathdj.k iznku fd;k tk;sxkA vU;Fkk dh fLFkfr esa ns'k&izns'k ds U;k;ky;ksa dks
lwpuk izsf"kr dh tk;sxh fd veqd vH;FkhZ dk vLFkk;h iathdj.k lekIr gks pqdk gS o LFkk;h iathdj.k iznku ugha fd;k x;k gSA
vr% vH;FkhZ vf/koDrk O;olk; djus ;ksX; ugha gSA

10- LFkk;h izek.k i= izkIr gksus ds ckn gh lh0vks0ih0 ds fy;s vkosnu ekU; gksxk vkSj ml le; okafNr “kqYd fy;k tk;sxkA

¼;fn vki vuqlwfpr tkfr ;k tutkfr ds gSa] rks mldk mYys[k ;gka vo'; djsa rFkk bl vk'k; dk ,d izek.k&i=
ftykf/kdkjh ls izkIr djds vo”; nkf[ky djsAa ½
 8

Photograph In Coat
Tie Duly Attested By

BAR COUNCIL OF UTTAR PRADESH

Member Bar Council
Of U.P or First Class
Magistrate
1. Name (In Full) As per L.L.B Certificate Sri/Km/Smt.

2. Father’s/Husband’s Name (In Full) Sri.

3. Resident (Specify State)

4. Permanent Address (For Registration Use)

PIN:

5. Local Address (For Communication Use)

PIN:

6. Place Of Practice/District.
Head Quarter :

Name of Subordinate Court

Tehsil :

7. Date Of Birth: DD : MM : YYYY:

8. Sex : Male : Female:

9. Marital Status : Unmarried: Married :

10. Category: SC: ST: OBC: General:

11. Age of Candidate on the Date of Application

YY MM DD
 9

i= O;ogkj dk irk Li"V :i esa fgUnh esa HkjsaA

uke -------------------------------------------------------------------------------------------------------------

firk@ifr dk uke ---------------------------------------------------------------------------------

iw.kZ irk ----------------------------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------------------------------

eksckby uEcj--------------------------------------------------------fiu dksM-----------------------

 10

Advocarte Information Form

dsoy LFkk;h irk Hkjsa
vkosnd }kjk fgUnh esa Hkjk tk;s
1- uke Jh@dq0@Jherh---------------------------------------------------------------------------------------------------------------------
2- tUe frfFk vadks esa -----------------------------------------'kCnksa esa-------------------------------------------------------------------
ikliksVZ lkbt
3- firk@ifr dk uke Jh-----------------------------------------------------------------------------------------------------------------------
4- fookfgr@vfookfgr------------------------------------------------------------------------------------------------------------------------------ QksVks dksV VkbZ esa
5- oxZ ¼lkekU;@vkschlh@,l0lh0@,l0Vh0½-------------------------------------------------------------------------------- fpidk;sa] tks fd
6- edku ua0----------------------------------------------------------------------------------------------------------------- izekf.kr ugha
gksxhA
7- eks0@xzke-----------------------------------------------------------------------------------------------------------------------------------------------
8- iksLV--------------------------------------------------------------------------------------------------------------------------------------------------------
9- Fkkuk----------------------------------------------------------------------------------------------------------------------------------------------------------
10- tuin------------------------------------------------------------------------------------------------------------------------------------------------------
11- fiu

TO BE FILLED IN ENGLISH BY CANDIDATE

1. NAME Sri / Km. / Smt.........................................................................................
Paste a
2. DATE OF BIRTH................................................................................................
Passport Size
3. FATHER / HUSBAND NAME SRI…................................................................ photograph,
4. MARITAL STATUS (Married/Unmarried)………………………………….. which would
not attested
5. CATEGORY (Gen/Obc/Sc/St)……………………………………………………
6. HOUSE NO..........................................................................................................

7. MOH/VILL...........................................................................................................

8. POST.....................................................................................................................

9. POLICE STATION .............................................................................................

10. DISTRICT ……………........................................................................................

11. PIN

12. For Office Use

1. Application No..................................................................
Signature Clerk
2. Enrollment No...............................................Date ..........................................
3. Place of Practice...............................................................................................

Signature Secretary
 11

vkosnu i= la[;k -----------------------@---------------

fnukad ------------------------------------------

ifjf”k’V

¼iqfyl osjhfQds”ku QkeZ] vUrZxr vkns”k ekuuh; mPp U;k;ky;] bykgkckn }kjk fjV lh ua0
42619@23 ds lEcU/k esa½

iqfyl vk;qDr@ofj’B iqfyl v/kh{kd@iqfyl v/kh{kd]

tuin %& ------------------------------------------
mRrj izns”kA

vkils vuqjks/k gS fd vH;FkhZ ds vkijkf/kd bfrgkl ds lEcU/k esa fjiksVZ ;Fkk”kh?kz ckj
dkmafly vkWQ mRrj izns”k] iz;kxjkt dks izsf’kr djus dk d’V djsAa

1- vkosnd@vkosfndk dk uke --------------------------------------------------------------------------------------------

2- firk@ifr dk uke ------------------------------------------------------------------------------------------------------------

3- ekrk dk uke -----------------------------------------------------------------------------------------------------------------------

4- iw.kZ irk ---------------------------------------------------------------------------------------------------------------------------------

5- Fkkuk ---------------------------------------------------------------------------------------------------------------------------------------

6- ftyk --------------------------------------------------------------------------------------------------------------------------------------

7- eksckby ua0 --------------------------------------------------------------------------------------------------------------------------

8- eqdneksa dk fooj.k ------------------------------------------------------------------------------------------------------------

iqfyl vk[;k
 13

izk:i 'kiFk&i=
¼vkosnd }kjk “kiFk i= ds :i esa vkosnu i= ds lkFk layXu fd;k tk;s½

eSa--------------------------------------------------------------iq=@iq=h iRuh Jh--------------------------------mez-------------fuoklh-----------------------------------------------------------------------------'kiFk

iwod Z C;ku djrk gw¡ fd

1- ;g fd eSa tUe ls Hkkjrh; gw¡A

2- ;g fd esjh tUe frfFk-----------------------------------------gS vkSj esjh mez 21 o"kZ ls vf/kd gSA
3- ;g fd eSa dHkh vijk/k esa nf.Mr ugha gqvk gw¡A
4- ;g fd esjs fo:} Hkkjrh; n.M lafgr vFkok vU; fdlh ,DV dks dksbZ eqdnek fdlh QkStnkjh U;k;ky; esa fopkjk/khu
ugha gS vkSj u gh fdlh vijkf/kd dsl esa esjh fxj¶rkj gqbZ u gh esjs fo:} iqfyl }kjk dksbZ foospuk py jgh gSA
5- ;g fd eSa dHkh fdlh ukSdjh] O;kikj ,oa O;olk; esa dk;Zjr ugha gw¡A
6- ;g fd eS dHkh fdlh ukSdjh]O;kikj esa dk;Zjr ugha Fkk vkSj u bl le; gw¡A
7- ;g fd eSaus blds iwoZ fdlh ckj dkSafly vFkok mPPk U;k;ky; esa vf/koDrk iathdj.k gsrq izkFkZuk&i= ugha fn;k gS vkSj u
,slk dksbZ izkFkZuk&i= vLohd`r gqvkA
8- ;g fd eSaus gkbZLdwy ijh{kk--------------------------------------------------------esa mRRkh.kZ dh gSA
9- ;g fd eSaus b.VjehfM,V dh mikf/k lu~----------------------esa mRrh.k dh gSA
10- ;g fd eSaus Lukrd dh ijh{kk lUk~-------------------------------es mRRkh.kZ dh gSA
11- ;g fd eSaus fof/k Lukrd dh ijh{kk lu~--------------------------- esa mRRkh.kZ dh gSA
12- ;g fd eSaus fof/k Lukrd d{kk esa izosn'k ¼esfjV vFkok izos'k ijh{kk½ ds vk/kkj ckj dkSafly vkQ bf.M;k }kjk lEc}hd`r
fo|ky; ls izkIr fd;k gSA¼;fn gkbZ Ldwy ls ysdj vkosnu i= nsus dh frfFk rd dh vo/kh esa izkFkhZ dk fdlh dkj.ko'k
foJke gks vFkok vuqRRkh.kZ gqvk gks vFkok ijh{kk esa u cSBk gks] rks mldk LIk"Vhdj.k 'kiFk i= esa mfYYkf[kr djs½a
13- ;g fd esjs gkbZ Ldwy izek.k i= ls ysdj fof/k Lukrd ds izek.k i= rd esa uke rFkk ljuse dh dksbZ fofHknzrk ugh gSA
14- ;g fd vf/koDrk ds :i esa ckj dkSafly }kjk iathd`r fd;s tkus ds ckn esjs s fo:} Moral Turpitude ds vUnj vkus
okyk dksbZ Hkh vkijkf/kd okn ;k ,Q0vkbZ0vkj0 dk;e gksrk gS rks eSa mijksDr vkijkf/kd okn ls lEcfU/kr izFke lwpuk
fjiksVZ ;k ;fn ifjokn dk;e gksrk gS rks ifjokn dh izfrfyfi mRrj izn's k ckj dkSafly dks mDr rF; dh tkudkjh gksus
dh frfFk ls rhu ekgds vUnj jftLVMZ Mkd ls izsf"kr dj nwaxkA bl ckr dks lqfu'pr d:axk fd ifjokn ;k
,Q0vkbZ0vkj0 dh izfr ckj dkSafly dks fey xbZ gSA
¼v½mijksDr ifjokn ;k eqdness tks Hkh vfUre fu.kZ; dh lR; izfrfyfi dks Hkh fu.kZ; dh frfFk ls rhu ekg ds vUnj ckj
dkSafly vkQ mRRkj izn's k dks lR; izfrfyfi ds lkFk jftLVMZ Mkd ls izsf"kr d:axk vkSj lqfu'pr d:xk fd izfr fey xbZ
gSA
¼c½;g fd vf/koDrk ds ;i esa iathd`r gksus ds i'pkr ;fn eS vius thou ;kiu gsrq fdlh vU; O;kij] O;olk; ; ukSdjh ;k
vU; O;olk; dks thfodksiktZu ds lk/ku ds :i viukrk gw¡ rks esjs }kjk iathdj.k izek.k i= RkRdky ck dkSafly mRRkj izn's k
ds dk;kZy; esa lefiZr dj fn;k tk;sxk vkSj ,slk u djus ij eS Hkk0n0fo0 ds vUrxZrFraud dk nks"kh ekuk tkÅaxk
¼l½;g fd vkosnu i= esa esjs }kjk dh xbZ ?kks"k.kk esjs s O;fDrxr Kku esa lR; gS rFkk dksbZ Hkh RkF; esjs }kjk fNik;k ugha x;k
gSA
15 ;g fd eSaus “kSf{kd izek.ki= @ lsokfuo`fRr izek.k i= dh Loizekf.kr izfrfyfi nkf[ky dh gS] os iw.kZr;k lgh gSaA ;fn os
xyr ik;s tkrs gSa rks ckj dkmfUly mRrj izn”s k dks ;g vf/kdkj gksxk f dog iathdj.k fujLr dj nsa vkSj vU;
dk;Zokgh djus ds fy;s ckj dkmfUly mRrj izn”s k Lora= gSa
16 dksbZ fo'ks"k mYys[kA
;g fd 'kiFk&i= ds mi;qZDr iSjkxzkQ 1 ls --------------------------------------rd esjs O;fDrxr Kku ,oa foJke esa lR; gS] bleasa dksbZ
Hkh ckr >wB ugha gSA Hkxoku esjh lgk;rk djsaA
vkt fnukad-----------------------------LFkku-------------------------------------------------ij lR;kfir fd;kA

'kiFkdrkZ@”kiFkdrhZ
 14

vkosnu i= Hkjus gsrq vko';d funsZ'k

vf/koDrk iathd`r ds fy, fn;s tkus okys vkosnu&i= esa fuEefyf[kr ckrkssa dk gksuk vfuok;Z gSA

1- vkosnd dk uke vaxzth vkSj fgUnh nksuksa Hkk"kkvksa esa ,d gksA

2- izi= esa fufnZ’V lHkh mi;qDr LFkkuksa ij vkosnd@vkosfndk ds gLrk{kj gksA
3- fnukad 01 tuojh 2015 ls vkosnd@vkosfndk }kjk viuk ;k vius firk @ifr dk oksVj dkMZ@vk/kkj dkMZ@QksVks;qDr fuokl
izek.k i= dh Loizekf.kr izfr vkosnu i= ds lkFk layXu djuk vfuok;Z gS] mijksDr ds fcuk iathdj.k gksuk lEHko u gksxkA
4- gkbZLdwy] bUVj] Lukrd ,oa fof/k Lukrd ¼,y0,y0ch0½ dh ijh{kkvksa ds vad i= o izek.k i= dh Loizekf.kr 2 lsV QksVks dkih
nkf[ky djsAa
5- 500@ ¼ik¡p lkS :i;s½ dk lkekU; eqnzkad i= ¼Non Judicial½ tks mRrj izns'k ljdkj ds i{k esa tek gksxk] yxkuk vko';d gS]
tks fd vkosnd vius uke ls [kjhnsA
6- ;fn fof/k Lukrd izek.k i= izkIr u gqvk gks rks ,y0,y0ch0 ijh{kk ds vUr%dkyhu ¼izksfotuy½ ewy izek.k i= nkf[ky djsAa
7- ;fn gkbZLdwy dk ewy izek.ki= miyC/k u gks rks fdlh jktif=r vf/kdkjh }kjk izekf.kr ifj.kke iznf”kZr jkti= ds m}j.k] lkFk esa
bl vk”k; dk “kiFk i= Hkh gks fd veqd m}j.k dsoy vkosnu ls gh lEcfU/kr gSA
8- ;fn vkosnu dHkh ukSdjh esa jgk gS rks lsokfuo`fRr ¼fjVk;jesUV½] R;kx i= vFkok mUeqfDr ¼fMLpktZ½ ds dkj.k ukSdjh NksMus ds izek.k
i= dh Loizekf.kr Nk;kizfr layXu djsAa
9- uksVjh }kjk izekf.kr 'kiFk&i= nl :i;s ds eqnz.k i= ij gksuh pkfg;sA 'kiFk&i= dk izk:i bl i`"B ds nwljh vksj vafdr gSA
10- ;fn vki vuqlwfpr tkfr ds gS rks viuk tkfr izek.k&i= ewy ds lkFk izfrfyfi nkf[ky djsAa
11- ik¡p ikliksVZ lkbt ds QksVks xzkQ tks dksV VkbZ ;k cUn xys dk dksV ;k 'ksjokuh es gh]vkosnu i= esa fu/kkZfjr LFkku ij yxkdj
vkosnui= esa fn;s x;s funsZ'kkuqlkj fdlh izFke Js.kh ds eftLVªsV@tt] ckj dkSafly ds fuokZfpr lnL; }kjk izekf.kr gksus pkfg;sA
12- pfj= izek.k i= fdlh izFke Js.kh ds eftLVªsV]tt] ckj dkSfly vkQ mRrj izns'k ds fuokZfpr lnL; vFkok nl o"kZ ls vf/kd
vof/k ds iathd`r vf/koDrk }kjk fn;k tkuk pkfg;sA
¼v½ iw.kZ fooj.k uke] inuke dk Li"V mYys[k djrs gq, izek.k fn;k tk;sA
¼c½ ;fn vf/koDrk }kjk pfj= izekf.kr fd;k tkrk gSA rks mldk iathdj.k la[;k rFkk os vH;kFkhZ ds LFkk;h fuokl ds fuoklh gksus
pkfg;sA
12- ;fn vki IyhMj gks rks d`i;k mldk izek.k i= vo'; layXu djsa lkFk esa ftyk tt }kjk izkIr ,d i= Hkstas fd vki dc IyhMj ds
:i esa iathd`r jgdj odkyr fd;s gSA
13- iathdj.k ds i'pkr mRrj izns'k vf/koDrk dY;k.k fuf/k U;klh lfefr] y[kuÅ }kjk lapkfyr **vf/koDrk Hkfo"; fuf/k ;kstuk** dh
lnL;rk gsrq vkosnu djsAa ;kstuk dk YkkHk mBk;sAa
14- vkosnd }kjk viuk oS/kkfud igpku i= ,o airs ds izek.k i= dh Loizekf.kr Nk;k izfr vknsnu i= ds lkFk layXu djuk vfuok;Z
gSA
15- ;fn vkosnd }kjk fdlh foHkkx esa lsokjr jgrs gq, fof/k Lukrd dh f’k{kk izkIr dh xbZ gS rks lEcfU/kr foHkkx }kjk fof/k Lukrd dh
f'k{kk izkIr djus dh vuqefr lEcfU/kr izi= vkosnu i= ds lkFk vo”; layXu djsAa
uksV& lHkh ewy izek.k i=ksa dh Loizekf.kr Nk;kizfr ds nks lsV ,oa izksfotuy izek.k i= dks Bhd ls uRFkh djdsa dk;kZy; esa tek
djds jlhn izkIr djs ys
uksV& ekg ds izR;sd eaxyokj ,oa f}rh; cq}okj rFkk jktdh; vodk'k ds fnu dk;kZy; cUn jgsxkA

lfpo
ckj dkSafly vkQ mRrj izns'k