FORM I

 

FORM I

(Application for appointment as a notary)

To,
The [Central / State] Government
(Secretary, Ministry of Law and Justice / Law Department),
New Delhi / [State Capital].

Sir,
I hereby apply for appointment as a notary under the Notaries Act, 1952, and submit the following particulars:

1. Name (in full): ___________________________

2. Father’s/Husband’s Name: ___________________________

3. Date of Birth: ___________________________

4. Address:
    (a) Residential: ___________________________
    (b) Professional: ___________________________

5. Qualifications (academic and professional): ___________________________

6. Date of enrolment as an advocate / pleader / attorney: ___________________________

7. Number of years of practice as a legal practitioner: ___________________________

8. Other relevant qualifications or experience: ___________________________

9. Area or areas for which appointment is sought: ___________________________

10. Whether previously appointed as notary: ___________________________

11. Any disciplinary proceedings pending or decided against the applicant: ___________________________

12. Fees paid (details): ___________________________

I hereby declare that the particulars given above are true.

Place: ___________________
Date: ___________________
(Signature of applicant)