Free Document - Louisiana

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF LOUISIANA

IN RE: ____________________

PETITION FOR ADMISSION TO PRACTICE
TO THE HONORABLE, THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF LOUISIANA

The petition of _______________________ with respect represents that:

I. Petitioner resides at _________________________________, in the City of ___________________, Parish of _________________, State of Louisiana.

II. Petitioner's office address is ____________________________, in the City of ___________________, Parish of _________________, State of Louisiana.

III. Petitioner's general education consists of elementary and secondary school education and ____________________________________________________ _______________________________________________.

IV. Petitioner's legal education consists of ____________________________ _______________________________________________.

V. Petitioner was admitted to practice before the Supreme Court and all of the inferior courts of Louisiana on __________________. Other courts before which petitioner has been admitted to practice, together with the dates of admission are: _______________________________________________________________ _________________________________________________.

VI. Petitioner is qualified to practice before this Court, is of good moral character, and is not subject to any pending disbarment or professional discipline procedure in any other court. (If the applicant has been convicted of a felony or has previously been subject to any disciplinary proceedings, full information about the conviction or about the disciplinary proceedings, including the charges and the result will be given.) VII. As required by Uniform Local Rule LR83.2.3E, M & W, petitioner annexes hereto the certificates of two qualified persons as to petitioner's character. WHEREFORE, the petitioner pray that he/she may be duly admitted to practice before this Honorable Court.

_____________________________ Signature _____________________________ Name Typed _____________________________ Address _____________________________ City/State/Zip Code _____________________________ Telephone _____________________________ Louisiana Bar Number

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CERTIFICATE I, ______________________, a member in good standing of the Bar of this court, do hereby certify that I have known_____________________________, the petitioner herein, for more than ___________ years (here specify in what way: personally, professionally, through business contacts, etc.):___________________, and know him/her to be a person of good moral character. I recommend him/her to the court for admission to its Bar.

_____________________________ Signature

CERTIFICATE I, ______________________, a member in good standing of the Bar of this court, do hereby certify that I have known_____________________________, the petitioner herein, for more than ___________ years (here specify in what way: personally, professionally, through business contacts, etc.):___________________, and know him/her to be a person of good moral character. I recommend him/her to the court for admission to its Bar.

_____________________________ Signature

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UNITED STATES DISTRICT COURT EASTERN DISTRICT OF LOUISIANA ATTORNEY REGISTRATION STATEMENT Pursuant to Rule VII(D) of the Rules of Disciplinary Enforcement of the United States District Court for the Eastern District of Louisiana TITLE Mr. ___ NAME Mrs. ____ Miss __ Ms. ____ LA Bar No. _________

__________________________________________________ (Last) (First) (Middle)

FIRM NAME ______________________________________________ OFFICE ADDRESS RESIDENCE ADDRESS ___________________________________ ___________________________________ __________________________________ ___________________________________ BUSINESS TELEPHONE NUMBER FAX NUMBER _____________________ ___________________________________

List below the Bars of all states, territories, districts, commonwealths or possessions or other courts of the United States to which you are admitted to and the dates of such admissions: Bars Dates

_____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ________________ Date _____________________________ Signature

NOTE: A Supplemental statement of any changes in the foregoing information shall be filed within 30 days of such change. Rev 5/97