Free Petition For Bar Admission - Georgia

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United States District Court for the Southern District of Georgia
(This f orm m ust be typ ed.)

N AME:___________________________________________ G EORGIA B AR N UMBER:________________________________ O FFICE A DDRESS:_______________________________ O FFICE T ELEPHONE:___________________________________
_________________________________________________ _________________________________________________

O FFICE F ACSIMILE:_____________________________________ C OUNTY OF R ESIDENCE:________________________________

---Petition for Bar Admission-P ETITIONER IS A MEMBER IN GOOD STANDING W ITH THE S TATE B AR OF G EORGIA AND HAS PRACTICED
THEREIN AS SUCH. P ETITIONER IS ADMITTED TO PRACTICE IN THE FOLLOW ING COURTS: ______________________________________________________________________________________________.

H AS P ETITIONER EVER BEEN THE SUBJECT OF ANY OFFICIAL PROCEEDING BROUGHT BY A COURT, LEGAL BAR, GROUP, OR ORGANIZATION THAT THREATENED DISBARMENT, SUSPENSION, SANCTIONS, OR ANY
OTHER TYPE OF DISCIPLINE, REGARDLESS OF THE RESOLUTION? _________ I F SO, ATTACH HERETO A FULL EXPLANATION AND CITATION OF THE PROCEEDING.

P ETITIONER HAS READ, IS FAMILIAR W ITH, AND PLEDGES COMPLIANCE W ITH THE LOCAL RULES AND THE
STANDARDS FOR ATTORNEY CONDUCT OF THIS COURT. P ETITIONER HEREBY REQUESTS ADMISSION TO PRACTICE AS AN ATTORNE Y, SOLICITOR, AND COUNSELOR AT LAW IN THE U NITED S TATES D ISTRICT

C OURT FOR THE S OUTHERN D ISTRICT OF G EORGIA. P ETITIONER CERTIFIES UNDER PENALTY OF PERJURY
THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND CORRECT. ________________________________________ (SIGNATURE)

T HE UNDERSIGNED MEMBERS OF THE B AR OF THE S OUTHERN D ISTRICT OF G EORGIA DO HEREBY CERTIFY
THAT THE FACTS SET FORTH IN THE FOREGOING PETITION ARE TRUE AND THAT P ETITIONER IS AN ETHICAL PERSON OF GOOD MORAL CHARACTER, GOOD CONDUCT, AND PROFESSIONAL RESPONSIBI LITY.

20 D ATED THIS _______ DAY OF ________________, 20_____.

_____________________________________
Signature Typed name GA. BAR NO. _______________________________________________________

______________________________________
Sign ature T yp ed N am e GA. BAR NO. __________________________________________________________

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T HE FOREGOING PETITION HAVING BEEN CONSIDERED, IT IS O RDERED THAT THE P ETITIONER BE ADMITTED
TO PLEAD AND PRACTICE IN THIS C OURT AS AN A TTORNEY, S OLICITOR, AND P ROCTOR UPON TAKING THE PRESCRIBED OATH OF A TTORNEYS, PAYING THE C LERK THE REQUIRED FEE, AND SIGNING THE ROLL.

T HIS _______ DAY OF ________________, 20_____.

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U NITED S TATES D ISTRICT J UDGE