Application For A Practising Certificate 2014/2015 - The Law Society Of Tasmania
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3Application for a Practising Certificate 2014/2015
1.
Applicant Details
Title:
Mr/Mrs/Ms/Other
Surname:
...............................................................................................................................................
First Names:
...............................................................................................................................................
Previous Names/Alias:
...............................................................................................................................................
Date of Birth:
...............................................................................................................................................
Are you of Aboriginal or Torres Strait Islander Descent:
Yes/No
2.
Residential Address
Number and Street:
...............................................................................................................................................
City/State/Postcode:
...............................................................................................................................................
E-Mail address:
...............................................................................................................................................
Residential Telephone No: .............................................................................................................................................
Mobile No:
...............................................................................................................................................
3.
Legal Academic Qualifications
Degree(s)/University:
...............................................................................................................................................
Date of graduation:
...............................................................................................................................................
4.
Practical Legal Training
Practical Legal Training Institution: ..............................................................................................................................
Date of graduation:
..............................................................................................................................
Apprenticeship or articles with firm: ..............................................................................................................................
Date of completion:
..............................................................................................................................
5.
Admission Details
State(s)/Territory(ies) where admitted: ...........................................................................................................................
Date(s) of admission:
..............................................................................................................................
(Please provide evidence of admission from all jurisdictions in which you are admitted but have not practised,
and certificates
of fitness from regulatory bodies in all jurisdictions where you have held a practising certificate other than
Tasmania)
6.
Previous Legal Practice
Previous Firm/Chambers name(s): …………………………… .......................................................................................
………… ................................................................................................................
Dates:
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