Application Form

Applicant Details
Application No*:




Application for empanelment of :
(Please check in one column as an applicant can apply for only one panel).

Criminal Panel-1

Criminal Panel-2

Matrimonial Panel

Labour Panel

Civil Panel

Jail Visiting Panel

Mediator Panel

1.  Applicant's Name* : (In Block Letters)
2.  Father's/Husband's Name* : (In Block Letters)
3.  Date of Birth(DD/MM/YYYY)* :
4.  Age* : (as on 31st January, 2021)
5.  Residence Address* :
6.  Office/Chamber Address* :
   Telephone No.(R)* :
   Telephone No.(O) * :
   Mobile No.* :
   Email * :
7.  Enrolment No.* :
   Date of Enrolment * :
8.  Actual Practice Experience * :
   (Duration of actual practice in the Courts as on 31.01.2021)
9.  Specify experience in :
   High Court of Delhi/ Supreme Court of India* :
  District Court/ Lobour Courts/ MACT/ any other Fora*:

10.

Specify whether ever remained on the panel of the Delhi High Court Legal Services Committee or Delhi State Legal Services Authority, If yes, give details :

11.

Whether any disciplinary case/ complaint is pending against the applicant with any bar Council/ Authority or any criminal case is pending or has ever resigned/ removed from the panel of DHCLSC/ DSLSA.If yes, give details :

List of the documents to be attached
1. Self attested copy of Degree of Law. Maximum file size 3 MB
2. Self attested copy of Certificate of Enrolment. Maximum file size 3 MB
3. Self attested copy of Experience Cerificate issued by the Bar Association/ Council. Maximum file size 3 MB
4. In case for applying for Mediator Panel, attach copy of 40 hours mediation training certificate. Maximum file size 3 MB
5. In case applying for Criminal-I, Criminal-II, Matrimonial Panel, Labour Panel and Civil Panel, attach copies of atleast 02(two) orders/ judgements (passed by High Court of Delhi) wherein they have argued the case independently.
  1. Maximum file size 5 MB
  2. Maximum file size 5 MB
DECLARATION
Place:
Date :
(Upload Signature of the Applicant)