FORM – D
APPLICATION FOR RENEWAL
OF CERTIFICATE OF PRACTICE
(See Rule 9.2 of the
Bar Council of India Certificate of Practice Rules 2014)
TO,
The Secretary
Bar Council of State of Andhra Pradesh,
High Court Premises, HYDERABAD.
Subject: Application for renewal of Certificate of
Practice (AP/104/1987 Dated 31-7-1987)
Sir,
I hereby apply to the Bar Council of
State of Andhra Pradesh Hyderabad for renewal of Certificate of practice.
My full particulars are as follows:-
|
S.No
|
Required information
|
Particulars
|
|
1
|
Enrollment Number on the Roll
|
AP/1014/1987 Dated 31-7-1987
|
|
2
|
Name of Advocate
|
M.Madhusudhan Rao
|
|
3
|
Father’s Name
|
Ramchander Rao
|
|
4
|
Date of Enrollment
|
31-7-1987
|
|
5
|
Present Residential Address
|
H.No 17-102,Srinagar Colony,Nagarkurnool,District
Mahaboobnagar, Telangana State
|
|
6
|
Office Address with Telephone No/Mobile
No/Email/Website
|
17-102,Srinagar Colony Nagarkurnool, District Mahaboobnagar,
Telangana State.08540-226535/9441436305/9491047228/madirajumadhu@gmail.com/
|
|
7
|
Place of Practice
|
NAGARKURNOOL, DISTRICT.MAHABOOBNAGAR
|
|
8
|
Present Place of Practice
|
NAGARKURNOOL, DISTRICT MAHABOOBNAGAR TELANGANA STATE
|
|
9
|
Date Of Birth
|
10-08-1953
|
|
10
|
Particulars of the certificate of Practice issued
to the applicant
|
-No-
|
|
11
|
Whether the applicant after enrollment has joined
any Government/Semi Government/Private Service or any other kind of service,
if so full particulars be furnished.
|
After
enrollment the applicant has joined in the Service,APCPDCL as LDC on 22-12-2002,intimating the same to Bar
Council of State of Andhra Pradesh, and Resumed to Practice applying to the
Bar Council of State of Andhra Pradesh after obtaining the Permission from
Bar Council of State of Andhra Pradesh vide
ROC 662/2008 Dated 11-09-2008.( Letter and enrollment certificate
enclosed)
|
|
12
|
Whether applicant has joined any Business, as a
full partner/sleeping partner/if so particulars be supplied, with an attested
copy of Business Instrument like Partnership deed,MOU etc.
|
-NO-
|
|
13
|
Whether the applicant is a
managing/active/sleeping/director of any company, Corporation etc if so
particulars thereof
|
-NO-
|
|
14
|
Whether applicant, at present, is facing any
disciplinary proceedings/convicted in any criminal proceedings or not, if so particulars be
given
|
-NO-
|
|
15
|
Delay, if any, in submitting the application
form, reasons to be given.
|
-NO-
|
|
16
|
Renewal fee/late fee/penalty
|
Rs 500/- by way of Account
Payee Cheque No 702209 Dated 31-12-2014
|
|
17
|
Any other information, applicant wants to submit
about his distinctions
|
-NO-
|
|
18
|
Renewal fee/Late fee/penalty
|
Rs 500/- by way of Account Payee Cheque Dated
|
|
19
|
Any other information, applicant wants to submit
about his distinctions
|
-NO-
|
I, M.Madhusudhan Rao S/o Ramchander Rao Advocate, Nagarkurnool, District
Mahaboobnagar Telangana verify that the information/Particulars furnished by me
are true and correct to the best of my knowledge and belief and nothing has
been concealed therein.
Date: 31-12-2014 Signature of the Advocate
