No. To ‘The Secretary Bar Council of Assam, ete. Guwahati — 781001. Sir, I begto apply foran Identity Card for my use. I was enrolled as an Advocate in this Council. Necessary particulars are furnished below: 1. Name (in BLOCK letters) Father's Name 3. Address ‘Telephone/Mobil No. Email ID Enrolment No. Date of Enrolment Date of Birth Blood Group 0. Normal Place of Practice 1. Place where Advocate is entitled to vote in elections of State Bar Council eee wn ane 12. Whether Identity Card was obtained earlier: . (ifso, state the Card No. and date of issue and surrender the Card) declare that I have not surrendered my License and I am still in Practice. ‘The statements made above are true and borne on the record. Yours faithfully, closures: (Full Signature) Advocate ‘Two Stamp size Photographs (Write full name on the back side) Copy of Enrolment Certificate (Self attested) . Identity Card ifissued earlier. Date: v Specimen Signature of Applicant