Form 1 - Application By An Individual For Renewal Of Practising Certificate

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FORM 1
South Australia
APPLICATION BY AN INDIVIDUAL FOR RENEWAL OF PRACTISING
CERTIFICATE
To: The Registrar of the Legal Practitioners Registry
I make application for renewal of a practising certificate and I make the following statements in
respect of this application:
1. (a) Applicant’s family name:
...........................................................................................
Other names:
..............................................................................................................
Home address:
..............................................................................................................
...................................................................................... Postcode: ..............................
Home telephone number:
………………….. Email
:…………………………………....
Mobile telephone number ………………………………..
(b) Firm name:
..............................................................................................................
Business address:
......................................................................................................
..........................................................................................................................................
.................................................................................... .. Postcode: ..............................
Business telephone number:…………………… Email
.........
:……………………………
2.
Do you hold a current South Australian practising certificate?.......................................
(a) If not when did your last South Australian practising certificate expire? ........................
3.
If you held a practising certificate, during the financial year immediately preceding this
application
i)
Did you receive trust money in the course of practice? ............................................
ii) Did you keep a trust account? ……………………….. ...........................................
iii) Did you comply with the MCPD requirements?........................................YES/NO
4.
Is South Australia your principal place of practice? ........................................................
5.
How do you intend to practise in South Australia:
on your own behalf?
as a partner?
as an employee ?
as a director of a legal practice company
State name of firm or company if different from above

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