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State of Tamilnadu - Section
Section 15 in The Tamil Nadu Advocates' Welfare Fund Rules, 1989
15. The emblem of the Advocates Welfare Fund Stamp.
- The Advocates Welfare Fund Stamp shall have the emblem of the Bar Council of Tamil Nadu, namely, the scale with collar and bands in the middle of the scale with the inscription of the words "The Bar Council of Tamil Nadu" along with the words "Tamil Nadu Advocates Welfare Fund Stamp".AppendixForm No. ISeal of the AssociationApplication For Recognition| 1. | Name of the Association. | |
| 2. | Whether registered under the Societies Registration Act orother similar Act (Give details). | |
| 3. | Names of Courts in the centre. | |
| 4. | Number of members practising at thetime of application(Name, address, date of enrolment, age and date of birth, dateof suspension and resumption, if any.) | |
| 5. | Names and addresses of the President and Secretary |
| Place : | President Secretary |
| Date : |
| 1. | Name and address (in block letters). | |
| 2. | Age and date of birth of applicant. | |
| 3. | Date of enrolment under the Advocates Act, 1961 (Central Act25 of 1961). | |
| 4. | Place or places of practice. | |
| 5. | Suspension or discontinuance of practice, ifany, with details of suspension and resumption. | |
| 6. | Name and address of the nominee or nominees withthe proportion of share to be paid to each. | |
| 7. | Amount and date of payment to (Receipt to beattached), the Fund under section 15(3) | |
| 8. | Admission fee how paid. |
| Place: | Signature of the applicant. |
| Date: | |
| Attested by President (with seal) | Secretary (with Seal) |
| SI. No. | Membership Number | Name and address of member | Name of Bar Association in which he is a member | Date of birth with age |
| 1 | 2 | 3 | 4 | 5 |
| Date of enrolment as advocate | No. in the State roll of advocates | Date of admission to the Fund | Remarks |
| 6 | 7 | 8 | 9 |
| 1. | Name and address (in block letters). | |
| 2. | Age and date of birth of applicant. | |
| 3. | Date of enrolment under the Advocates Act, 1961 (Central Act25 of 1961) | |
| 4. | Place or places of practice. | |
| 5. | Suspension, discontinuance of practice, if any, with detailsof suspension and resumption. | |
| 6. | Name and address of the nominee or nominees withthe proportion of share to be paid to each. | |
| 7. | Amount and date of payment to the Fund undersection 15(6) (Receipt to be attached). | |
| 8. | Nature of re-admission. | |
| 9. | Details of payment made, re-admission fee how paid. | |
| 10. | Date of previous admission to the membership of the Fund withmembership number. | |
| 11. | Date of previous retirement from the Fund. |
| Place: | Signature of the applicant. |
| Date: | |
| Attested by President (with seal) | Secretary (with Seal) |
| 1. | Name and address (in block letters). | |
| 2. | Age and date of birth of the member. | |
| 3. | Date of enrolment under the Advocates Act, 1961 (Central Act25 of 1961). | |
| 4. | Registration number under the Advocates WelfareFund Act, 1987 (Tamil Nadu Act 49 of 1987). | |
| 5. | Place or places of practice. | |
| 6. | Completed years of practice after membership in the Fund. | |
| 7. | Date of retirement, cessation of practice/ death. | |
| 8. | The applicant is a member/ nominee/ legal heir,if legal heir, furnish the proof. |
| Place: | Signature of the applicant. |
| Date: | |
| Attested by President (with seal) | Secretary (with Seal) |
| 1. | Name and address (in block letters). | |
| 2. | Number and date of order appealed against. | |
| 3. | Date of receipt of order. | |
| 4. | Number and date of receipt evidencing paymentinto State Bank of India, in any branch in the State of TamilNadu. | |
| 5. | Statement of facts. | |
| 6. | Grounds of appeal with reliefs claimed. |
| Place : | ................................. |
| Dale : | Signature of the applicant. |
| 1. | Name and address of the member (in block letters). | |
| 2. | Age and date of birth of the member. | |
| 3. | Date of enrolment of member. | |
| 4. | Name and address of the patient showing hisrelationship with the member. | |
| 5. | Name and address of the medical practitioner whois attending the patient. | |
| 6. | Details regarding the disease. | |
| 7. | Amount required for treatment to be certified bythe medical practitioner. | |
| 8. | Annual income of the member whether assessed toincome-tax/ wealth-tax, if so, furnish attested copy of thereturn submitted to the authorities in the previous year. | |
| 9. | Details of previous application, if any, --- | |
| a. in respect of medical aid; | ||
| b. in respect of educational aid. |
| Place : | ................................. |
| Dale : | Signature of the applicant. |
| 1. | Name and address of the member (in block letters). | |
| 2. | Age and date of birth of the member. | |
| 3. | Date of enrolment of member. | |
| 4. | Name and address of the person showing hisrelationship with the member. | |
| 5. | Name and address of the institution where thestudent has been admitted with the certificate of admission fromthe Head of the Institution. | |
| 6. | Details regarding the course of study. | |
| 7. | Amount required for treatment to be certified bythe medical practitioner. | |
| 8. | Annual income of the member whether assessed toIncome Tax/ Wealth Tax, if so, furnish attested copy of thereturn submitted to the authorities in the previous year. | |
| 9. | Details of previous application, if any, --- | |
| a. in respect of medical aid; | ||
| b. in respect of educational aid. |
| Place : | ................................. |
| Dale : | Signature of the applicant. |