Supreme Court Forms New Application Form Proximity Card 30052019

SUPREME  COURT  OF  INDIA
APPLICATION   FORM   FOR   ISSUE   OF   PROXIMITY
 CARD FOR AN ADVOCATE/ MEMBER OF BAR COUNCIL
( OTHER THAN SCBA MEMBER)
(ALL DATA TO BE FILLED IN CAPITAL LETTERS)

PHOTO
(Passport 
Size)

1. Name of Advocate  ( In Capital Letter )

2.  Enrolment No. & date:

3. Office Address : 

4. Residential Address :

5.   Phone Nos. (1) Office:

(2)Residence:

        (3)Mobile:

6.  Blood Group       

:

7.  Details of Prescribed fee :
(a) D.D./Pay Order No.   ________________________& dated_________________________(DD/Pay Order of
Rs. 659/-)
(b)   Drawn on _____________________________________________________ drawn in favour of
         (  'The Registrar (Admn.), Supreme Court of India‘   payable at New
Delhi)    

          I Certify that the above particulars are correct.  I undertake to intimate and
to surrender the proximity card   when I stop practice, during the validity of the
card. 

Date:

             Name  and Signature of Advocate

It   is   certified   that   the   above   particulars   as   well   as   the   photograph   have

been verified from the record and found to be correct.

Signature & Stamp 
Chairman/Secretary Bar Council

Submitted through us.
Signature & Stamp

President/Hony. Secretary

Supreme Court Bar Association, New Delhi

 
  
 
 INFORMATION FOR SUBMITTING FRESH PROXIMITY CARD
APPLICATIONS OF NON-SCBA ADVOCATES

1.

APPLICATION   IS   TO   BE   SIGNED   EITHER   BY   CHAIRMAN   OR

SECRETARY OF THE STATE/U.T. BAR COUNCIL.

2.

PROXIMITY CARD APPLICATION  ORIGINAL  +  2 PHOTO COPIES

OF  THE  APPLICATION,   01   PHOTOGRAPH   PASTED   ON   ORIGINAL

APPLICATION   &   01   ON   DUPLICATE   APPLICATION   &   01   ON

TRIPLICATE APPLICATION.

3.

ENCLOSURES:ENROLMENT CERTIFICATE AND 01 COPY OF I.D.

PROOF:  NAMELY   COPY   OF   BAR   COUNCIL   I.D./ADHAR

CARD/ELECTION VOTER CARD/VALID PASSPORT .

4.

DEMAND   DRAFT/PAY   ORDER  OF   Rs.   659/-   IN   FAVOUR   OF

“REGISTRAR   (ADMN.)SUPREME   COURT   OF   INDIA”   PAYABLE  AT

NEW   DELHI   AND   01   PHOTO   COPY   OF   DEMAND   DRAFT/   PAY

ORDER. DEMAND DRAFT/PAY ORDER SHOULD BE DEPOSITED IN

THE REGISTRY THREE WEEKS PRIOR TO THE DATE OF  EXPIRY OF

DEMAND DRAFT/PAY ORDER. 

 SUPREME COURT OF INDIA
(Admn. Material Branch)

Cashier may kindly accept a sum of Rs. 659/- ( Rupees Six Hundred

Fifty Nine only) from  Shri/Mrs./Ms______________________________________

Offg_________________________________ towards changes to issuance of

 fresh/duplicate/triplicate Proximity Card.

T.R.S. 5 No________________________________________________dated_______________________________________________

Assistant Registrar
(Admn. Material)

SUPREME COURT OF INDIA
(Admn. Material Branch)

Cashier may kindly accept a sum of Rs. 659/- ( Rupees Six Hundred

Fifty Nine only) from  Shri/Mrs./Ms______________________________________

Offg_________________________________ towards changes to issuance of

 fresh/duplicate/triplicate Proximity Card.

T.R.S. 5 No________________________________________________dated_______________________________________________

Assistant Registrar
(Admn. Material)