BAR COUNCIL OF WEST BENGAL (AStatutory Body under the Advocates Act, 1961) 2&3, Kiran Sankar Roy Road Kolkata-700 001, Date of Issue Rs. 100 THE BAR COUNCIL OF INDIA FORM UNDER RULE 40, SECTION IV-A, GHAPTER II, PART VI OF THE RULES OF THE BAR COUNCIL OF INDIA ignaiture of Secty/Astt/Secty. The Bar Council of West Bengal 2&3, Kiran Sankar Roy Road, Kolkata-700 001, Dear Sirs, (1) 1am enclosing herewith a Bank Drafl / Cash for Rs, 600 for three years / Rs. 1000/- for life time payment under Rule 40, Chapter Il, Part VI of the Rules of the Bar Council of India. (2) lam enrolled as an Advocate on the Rolls of your State Bar Council. (3) 1am ordinary practising at. seri inthe temtory / State of, (4) lam.amember of the Bar Association / not a member of any Bar Association. (6) Mypresent Address is. iE eae cL a Payment for the year/s i SIGNATURE DATED : (Name in Block Letters) PLACE : Enrolment No. WBI. 120 or Bank Draft No. File No. Dt. of Enrolment Dt. of Birth NB. (@) Bank Draft to be drawn in favour of “Bar Council of West Bengal Alc. Deposit under Rule 40". (i) Money transactions are made til 1.00 PM. on weekdays excepting Saturday.