Indian Lawyers Association's Member Form
Email address *
1. Name (In Full): *
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2. Father’s/Husband’s/Mother’s Name (In Full): *
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3. Organization/Company name/Enrollment no. (individual practitioner)/Collegeor University name: *
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4. Resident (Specify State): *
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5. Permanent Address (For Registration Use): *
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6. Office Address (For Communication Use): *
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7. Place of Practice/District: *
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8. Mobile Number: *
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9. Sex : *
10. Age of Candidate on the Date of Application *
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11. Would like to be part of City Chapter *
12. Would you like to be part of the Chapter Board *
13. Personal interests *
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A copy of your responses will be emailed to the address you provided.
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