ALL INDIA BAR EXAMINATION

PROFORMA APPLICATION FORM

1. NAME OF THE CANDIDATE (LEAVE A BLANK BOX BETWEEN EACH PART OF THE NAME)

2. CHOICE OF LANGUAGE FOR THE ALL INDIA BAR EXAMINATION LANGUAGE CODE
(PLEASE WRITE THE LANGUAGE NAME AND CODE)

(SELECT FROM THE TABLE BELOW)

LANGUAGE CODE LANGUAGE CODE LANGUAGE CODE

HINDI 1 KANNADA 4 GUJARATI 7
TELUGU 2 MARATHI 5 ORIYA 8
TAMIL 3 BENGALI 6 ENGLISH 9

3. GENDER: PLEASE MARK (TICK √) IN THE APPROPRIATE BOX MALE FEMALE

D D M M Y Y Y Y
4. DATE OF BIRTH

5. CHOICE OF EXAM CENTRE CENTRE CODE

(SELECT FROM THE TABLE BELOW)

CENTRE CODE CENTRE CODE CENTRE CODE

AHMEDABAD 1 DHARWAD 10 NAGPUR 19
ALLAHABAD 2 GANGTOK 11 NEW DELHI 20
BENGALURU 3 GUWAHATI 12 PANAJI 21
BHOPAL 4 HYDERABAD 13 PATNA 22
BHUBANESWAR 5 JAIPUR 14 RAIPUR 23
CHANDIGARH 6 JAMMU 15 RANCHI 24
CHENNAI 7 KOLKATA 16 SHILLONG 25
COCHIN 8 LUCKNOW 17 SHIMLA 26
DEHRADUN 9 MUMBAI 18 VISAKHAPATNAM 27
6. NAME AND COMPLETE CORRESPONDENCE ADDRESS OF THE CANDIDATE WITH
PINCODE (LEAVE A BLANK BOX BETWEEN EACH PART OF THE ADDRESS)

ADDRESS

CITY
STATE PINCODE

7. (a) DO YOU HAVE A DISABILITY

(WRITE “YES” OR “NO” IN THE BOX)
(IF YES, ENCLOSE COPY OF DISABILTY CERTIFICATE)

(b) NATURE OF DISABILITY:

(PLEASE MARK (TICK √) IN THE APPROPRIATE BOX)

VISUALLY IMPAIRED MOBILTY IMPAIRED OTHERWISE PHYSICALLY

HANDICAPPED/OTHER
DISABILTY

(c) IF VISUALLY IMPAIRED OR MOBILTY IMPAIRED, MENTION IF YOU

REQUIRE THE HELP OF A SCRIBE (WRITE “YES” OR “NO”)

PASTE HERE FIRMLY

8. PHOTOGRAPH YOUR UNATTESTED
RECENT PHOTOGRAPH OF
3.5 CM x 4.5 CM SIZE
INSIDE THIS BOX

DO NOT STAPLE

9. FULL SIGNATURE OF THE CANDIDATE

10. NAME OF THE LAW COLLEGE GRADUATED FROM (LEAVE A BLANK BOX BETWEEN
EACH PART OF THE NAME)
11. DETAILS OF THE DEMAND DRAFT

DEMAND DRAFT SHOULD BE IN FAVOUR OF “BAR COUNCIL OF INDIA” PAYBLE AT NEW

DELHI FOR AN OF AMOUNT Rs.1300/-(Rs. THIRTEEN HUMDRED ONLY)

DEMAND DRAFT NUMBER

NAME OF THE BANK

DATE OF DEMAND DRAFT D D M M Y Y Y Y

12. LIST OF SUPPORTING DOCUMENTS (Please send Photocopy only)

PROOF OF STATE BAR COUNCIL ENROLLMENT

(PLEASE MARK (TICK √) IN THE APPROPRIATE BOX)

1 COPY OF ENROLLMENT CERTIFICATE

2 COPY OF ADVOCATE’S IDENTITY CARD

13. STATE BAR COUNCIL ENROLLMENT NUMBER

14. EMAIL ADDRESS

15. MOBILE NUMBER / TELEPHONE NUMBER WITH STD CODE

MOBILE No:
STD CODE:
LANDLINE No:

16. DECLARATION

I, ………………………………………………………………………………………….……….., do hereby
declare that the above information filled by me in the application form is true and correct to the best of my
knowledge. I also understand and acknowledge that in case of detection of any incomplete or wrong
information in the Proforma Application Form, my application will be liable to be rejected.

Full Signature of the Candidate……………………………………………………………………………

Date ………………………………………………….