Registration Form: Register of Legal Professionals & Law Firms
Registration for Advocates and Legal Procurators
Data that will be published online
Full Name
*
First Name
Last Name
Kindly fill in all the required data fields in order to submit your registration. Your consent for the publishing of this data is being sought.
General Data
ID Number
*
Date of Birth
*
-
Day
-
Month
Year
Consent to publish General Data
*
Yes
No
Professional Data
Do you practice as:
*
an Advocate
a Legal Procurator
Warrant Date
*
-
Day
-
Month
Year
Work Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work E-mail
*
example@example.com
Work Phone Number
*
Consent to publish Professional Data:
*
Yes
No
Name of Legal Firm to which you pertain (if applicable):
*
Type NA if 'Not Applicable'
Kindly upload a PDF of your professional warrant
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Personal Data
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Consent to publish Home Address:
*
Yes
No
Personal E-mail
*
example@example.com
Consent to publish Personal E-mail:
*
Yes
No
Personal Phone Number
*
Consent to publish Personal Phone Number:
*
Yes
No
Comments:
Submit
Should be Empty: