APPLICATION FORM FOR MEMBERSHIP

 

Please complete carefully all the blank spaces and answer all the questions, ticking or deleting alternatives as appropriate. Changes of particulars should be notified as soon as possible so as to keep computer records up to date.

 

SURNAME: .................FIRST NAMES:..................

DEGREES AND QUALIFICATIONS: .................................................... 

HOME ADDRESS: ................................................................................

...............................................................................

......................... POSTCODE: .................. TELEPHONE NO: ..............

 

OFFICE ADDRESS: ........................................................................... 

..................................................................................................................

POST CODE: ....................DOCUMENT EXCHANGE NO: ....................

OFFICE TEL NO: ............................... FAX NO: ................................

COMMUNICATIONS TO BE SENT TO: HOME / OFFICE ADDRESS

(delete as appropriate)

POSITION HELD: ...............................................................................

TOTAL LENGTH OF SERVICE IN THE PUBLIC SECTOR: .................

NAME OF EMPLOYER: ...........................................................................


INN: .................................. DATE OF CALL: ......................................

ARE YOU APPLYING FOR FULL, ASSOCIATE, OR RETIRED MEMBERSHIP? ...............................................


HOW MANY MONTHS OF PUPILLAGE HAVE YOU COMPLETED? ................................................................

ARE YOU A SUBSCRIBER TO THE BAR COUNCIL? YES / NO

(This is compulsory as from 1.4.90 for those providing legal services to their employer)


ARE YOU A MEMBER OF BACFI OR FDA? BACFI ........... FDA ........ NEITHER ...............

 

ARE YOU PREPARED TO SERVE ON THE EXECUTIVE COMMITTEE? ...........................................................

(This would involve a commitment to attend day-time meetings, normally in London, about 4 times a year)


PLEASE GIVE OVERLEAF ANY OTHER RELEVANT INFORMATION ABOUT YOURSELF THAT YOU MAY LIKE TO GIVE. PLEASE INCLUDE INFORMATION ABOUT SPECIAL ABILITY TO ORGANISE FUNCTIONS, WILLINGNESS TO GIVE TALKS, ETC.


If my application is approved I undertake to comply with the provisions of the Constitution and to pay my subscription promptly as it falls due

  

DATE:............................SIGNATURE: ....................................................

N.B. If you know of other Barristers who are not members of the Association, but who are eligible for membership, it would be appreciated if you would give their names and addresses.


Once completed, please post or e-mail to:

Dr. Mirza Ahmad, LLD (Hon),

c /o St Philips Chambers, 55 Temple Row,

Birmingham B2 5LS

mahmad@st-philips.com


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