Mass Advocate

MASS ADVOCATES
Multiple Actions for Social Services

No. A6, Raj Breeze, Saratha Nagar Near Bharath College, Thanjavur-613 005.



Application Form for Membership

Permanent Address:
Temporary Address:
  • B.L.,
  • LLB.,
  • M.L.,
  • LLM.,
Year of Joining:
Year of Completion:
Enrolment No:
Place of practice:
Name of Spouse:
Occupation:
Children Name and Age:
Name Age
ID proof 2:
Address proof 1:
Address proof 2:
Advocates welfare
fund membership No :
Group Insurance subscription
payment details:

I hereby accept and abide the rules and regulations of the association. I herewith enclosed all copies of Degree Certificates, Enrolment Certificate, I.D. Proof and two copies of Passport size photo. I have enclosed a D.D. for Rs.500/- for Annual subscription and I.D. card.

Date:
Signature:
Mass Advocate