Application For A Practising Certificate Renewal And Solicitor Membership Of The Law Society Of New South Wales - 2015-2016 Page 2
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8D
Renewal details continued
7
Are you paying your fees by credit card?
No
3
Are you currently declared bankrupt?
Yes
Please provide credit card details below.
No
Yes
Your practising certificate may be
Amount to
Use the Scale of Fees on page
issued subject to an undertaking.
$
be charged:
8 to confirm payment amount.
4
Are you a legal practitioner partner in a multi-
Card type:
AMEX
MasterCard
Visa
disciplinary partnership (MDP) as authorised by
Card
s.166 of the Legal Profession Act 2004?
number:
No
/
(mm/yy)
Expiry date:
Yes
Has the Law Society previously been
advised of this?
Cardholder’s
name:
Yes
7
No
Please complete a Notice of
Cardholder’s
intention to start practice in a
signature:
Multi-disciplinary Partnership –
available at
8
Do you want to be issued with a 2015/16 ID card?
au/forms.
No
5
Are you a legal practitioner director in an
Yes
Would you like a photo on your ID card?
incorporated legal practice (ILP) as authorised by
Part 2.6 of the Legal Profession Act 2004?
No
Yes
Re-use existing
No
photo or follow
(1) Glue a passport size
Yes
Has the Law Society previously been
instructions
photo here.
advised of this?
1 to 3 (right) for
(2) Please write your
Yes
new photos
name on the back of the
No
Please complete a Notification
photo and sign it in case
of Incorporated Legal Practice –
it becomes
detached from this form.
available at
au/forms.
(3) Use a photo that is
less than 12 months old.
Note: Legal Practitioner Directors – if a financial
report is required to be prepared under s. 292 of the
Corporations Act 2001, copies of the most recent
9
Do you identify as being Aboriginal and/or Torres Strait
reports lodged with ASIC must accompany this
Islander (optional)?
application.
No
6
Mandatory Continuing Legal Education:
Yes
Please note: Compliance includes the 3 compulsory
fields and satisfying Clause 176 Legal Profession
10
Select your main areas of practice (you may select up to four)
Regulation 2005 (refer to page 7).
(optional).
• Tick “Yes” if you completed 10 MCLE units
Please select
between 1 April 2014 and 31 March 2015.
• If you commenced practice after 1 July 2014 and
Please select
completed 5 MCLE units before 31 March 2015,
tick “Yes” as you have complied with the MCLE
Please select
Rules.
Please select
• If you commenced practice after 1 January 2015,
tick “Yes” as you are not required to complete any
11
I declare that the contents of this application are true and
MCLE units and you have complied with the MCLE
correct and that I have not been the subject of any disciplinary
Rules.
(professional) proceedings or convicted of or charged with an
Have you complied with the Mandatory
indictable offence in any jurisdiction which has not previously
Continuing Legal Education requirements
been disclosed since my last application for a practising
in NSW?
certificate. (If you are unable to complete this declaration, amend
Yes
the declaration and attach a letter detailing the reasons.)
No
Please complete either a
Signature
Request for an Extension of Time
7
or an Exemption form found at
au/forms.
Date
Exempt
You should only tick this box if
you have already been granted an
(dd/mm/yyyy)
exemption by the Licensing
Now go to page 5 to complete the survey.
Committee.
You must print this document, sign it and return it.
Page 2
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