:.:...
13. Cheque or D.D. No. .,..
14. Whether the applicarrt was ever refiKx/ed fiom mernbership of fund, if so:
amolrrt or payable).
24 THE RAI{STII,AN ADYOCATES WEIF'ARE FUND RULES, 1988 f)nfc When I5. Any other details Declaradons (A) I hereby declare that the above particulars are true to my personal knowledge.
(B) I hereby undertake to abide with the provisions of Act, Rules and direction etc. made thereunder.
(C) I hereby undertake to pay subscription as required by the Act or Rules.
Signature of appllcant Advocate (t3) The forrn may be submitted directly to the Trustee Committee offiee r' through the BarAssociation concemed. tf this form is submitted through tlie i, :
Association, th€ Bar Association shall fonrard immediately wifir *jri endorsement that the particulars in column No..... have been checked frorn rhe record of the Association.
(l ) The Bar Association will issue the acknowledgment of the form on behalf of the Secretary
(15) The Trustee Committee shall intimate the applicant within 30 days the decision taken on the app-lication ry's. 16. If the Trustee Commiftee admits the applicant as member it will iSsue a certificate in the following form.
Cerdfrcate ".tO*T9i to the Fund : [Section 16(l)l l. Name andAddress of Member
2. Date since practising
3. Name/I.,lames with respective share of tlrc nomineey's
4. Any other particulars.
Dale .........-..
Signaturc of the authorised Slgnatory
(16) If the applicatron ry'ss. 16 after hcaring the advocate is rejected, the Committee shall ititimate the details of its finding with reasons under the seal and signatures of the Secrdtary by Regd. post {.D.
THE RA.IASffiAN ADVOCATES WTMANT FUND RULES, 1988 25
(17) Change or cancellation of nomination:- Any member desiring to cancel or change the nomination made previously, he shall notify under registered post to the Seeretary in the following fonn:
o (B) Reletionship
4. If canc:llation is sought- (B) Nominees .................................... ..
5. If fresh ncmination is sought- (A) Na'ne with age and share (B) Relationwith member (C) Address of the nominec/s Date.,,..,........... Signature of member This form shall be attestcd by the District Judge of the Disttict in rvhose iudgeship the member is ordinarily practising or residing.
26 TI{E RAIASITI..AN ADVOCATES WE|LFARE FUND RULES, 1988
(18) App[cadon W member on cessadon of pracdee :- ' Member on cessation of the practice shall submit application for payment of the arnountin the following form:
Fom of Appllcaffon by Member under Secfion 17 lor the Payment t. NameandAddressoltheMember :
2. Date of Birth :
3. Date of Enrolment & R. No. :
4. Date of admission as member to the RA.WF. :
5. Duration of practice before Admission as:
, member
6. Duration of practice after admission Els:
member
7. Date of discontinuance of,practice :
(A) Date of discontinuance (B) Date of Revival (lf there are more periods than one, please state all)
8. lf the member ioined any employment since:
after becoming member, details be given
9. Total period of discontinuance of Practice :
(A). Before admission as member (B) After admisslon as member
10. Amount claimed and details in short for it. :
I hcreby declare that the O*.!gr are true to my personal *o*,"*";**r* Date:..........
Verification and recommendation of President, Bar Association kesident, Bar Arsoctdion
(19) Payment in case of death of the member.-Any nominee, dependeni or legal heir, as thc case may be, may submit application for the payment of amount in the following form:
TI{E RALrtSTtlAN ADVOCATES WELFAREFUI{D THE RAIASTIIATT ADVOCATES WEIfANE, ruNP 27 Please affixyourlatest passPort size photo Signature (lo THE BAR COUNCIL OF RA'IA'STIIAN HIGH COURT BUILDINGS, JODHPUR'342OOI PAYMENT IN CASE OF DEATH OF THE MEMBERS l. Name andAddress of the deceased member :
Phone No. ........."..........................""':"';'
Mobile No. ......,'.......
2. Date of Birth :
3. Date of Enrolment and R. No' :,
4. Date of admissionto the fund i
5. Date of death (A death cCrtificate must be enclosed) Cause ofDeath (A)Natural ' I :
(B) Accidental :
6. Pedod orperiods of discontinuation of prattice' :
if any.
7. If the deceased member loined any sewice after :
becoming member, please givc details'
8. Detail of aPPllcant
(a) Name/ Names with age and address of each aPPlicant
(b) If nominee, sPecifY the I Share/ Shares of each nominee
(c) If the aPPlicant is not nominee I. Relation with thc deceased :
il. Succession Certilicate mustbe ann"*"d*itt' the application form '' '
9. Amount claimed and its details in tn"rt :
Verification and recommeirdation of President' Bar Association' PRESIDENT, BAR ASSOCIA'TION 2E fiERATAST}IAN ADVOCATES WELFARE I'UND RULES, 1988
(20) App[cadon for palment to be disposed expeditiously:
The Trustee committee shail dispose off the apprication u/s..u of the Act veryoipeditiously and within a month of its receipt in the office of the committe€. Ifthere is any enquiry to be made by the committee in this respect the.same shail be _made expeditiously.
Even under all ttre circumstances the application shall be disposed off within 3months from the date of receipt in the office of sucn appticationi '
Provided that this period of one monLh or s,months may be extended by afurther period of one month with a resorution of the comm-i-til"-fo, ,"*ons to berecorded and intimated ro the appticant ", ii;.;;-";;ii;ffi;;;;;;;;
applicants.
COPIES Copy of judgment or order to be sent:
(2t; copies-The committee shar send .a copy of the order or judginentp-assed or pronounced on any matter under rhis A"t *a il;; Itpy of such oraeror iudgment irnmediately- to the applicant or peison having interest in the oraggrieved by such order or judgm"nt Ly Regd. posi fn"" of "ori)](22) other copres to be i"",rua.-]rn" s"o"tury- rnni',rrr. copy of anyapplication, any entry of register of'members o, negisa ;ffi;;r*iation erc. toany person on payment of fees as prescribed in the High Court Rules. The fees shallbc paid in cash or in stamps printed by the Committee:
o Provtded also that the committee may refuse the issue of copy of anydocument for reasons to be ricordea in writing.
TTIE RA.IAST}IAN ADVOCATES \A/ELF'AR&FUND l9B8 29 THE RA'ASTI{AN ADVOCJTTES WELEANE TIHD oo rHE BAR couNc,t ?|#f;ffif;j|rcH couRr BUILDINGS, Application for retirement as. an Advocate under Sectiorr l7 of Raiasthan Advocates Welfare Fund Act & to remove name as an Advocqte Sec$on 26(A) of the Advocates Act.
To, The Secretary :flTlT*::rffi'.ffi ffi:'*n comm': *ee' High Court Building, JODHPUR 5Ir, I am not in a position to practice as an Advocate.'l have applied for retirement benefits under Raiasthan Advocates Welfare Fund Act. Kindly remove my lrame on the Roll from the date of sanction tetirement benefits by the Trustee Committee. I am enclosing the original Certificate of Eruolment issued by the Bar Council of Rajasthan My Particulars are given as under: -l. Name :
2. Addriss :
(A) At the time of Retirement :
(B) After Retirement Phone No. .................i..................
Mobile No.
3- Enrolment No.
4. Date of Enrolment
5. Reason for Retirement (Give tull detail) (signaturc in Ettglis}r) (sisnatue in lllndi) Encl: Original Enrolment Cerlificata.
Please alfxyorrlatest phssport size photo N.B. : l. Please retum form duly flletl Hundred only) payab.le to SecretaryBilCotndl , 2. The Original Certificate must be enclosed.
a D.D. of Rs. 100/- of W1Jodhpr) (k:;
30 T}IE RAIASTHAN ADVOCATES WELFARE FUND RULES, 1988 rl q, THE RAIASTHATTI ADVOCJ\TES WEI.TARE FI.'ND To, The Secretary, Raiasthan Advocates Welfare Fund Committee, C7o Bar Couhcil of Raiasthan, High Court Building, JODHPUR Sub: Applicadori for grant of ex-grada Sir, In above reference I am submitting herewith this application with all necessary info.rmations required alongwith original bills and medical papers for the purpose of disbursement of ex-gratia to me.
t. Name of Applicant - :
!. Address Phone No.
Mobile No. ..
Please affix your latest passport size photo
3.
4.
D.
6.
,:
8.
0.
10.
II.
t2.
t3.
., t4.
Place of Practice Enrolrnent No. :.
No. of years.of membership to RA.W.F. :
Whetherall payments of R/IWF have been :
made or Not (if due, same should be enclosed with the application) \Mretherl'our name has been stnrck offfrom :
he roll of RAWF, if yes, rvherr Whetheiyourmembership.to RAWF is revived :
or not, if yes, when? Submit proof thereof.
When the disease or accident lirst reported :
Brief of diseasc/ disability :
Placc of treatment and namc o-f attending :
Doctor Datc of discharge from l{ospital :
Whether you are insured by Mediclaim or :
personal accident insurance. If yes, give details.
Whetlrer1,ou have receired anyamount :
torvards solarium from anyAssociation or Organization in this regard, if yes, give details' Whelher you have liled or intend to file any :
consumer dispute / accident claim, petition wittr ief€reilce to present ctaim, if yes, give deriiils of lhe same.
Cl THE RAIAS'THAN ADVOCA1ES FUND RULES, 1988 3l
15. Whetherlourheatrnentiscontintifrgor :
completed
16. Certificate,of disability, if any, issued by trf,edical : .
17. Whetheryoualesutreringfrotnanincdrable' :') disease, sPecifY the same.
18. Total orpenditure irrcurred.
19. Amountclairnedbyyorr. . :
' year Rehrmed Net Income. ; l NOTE : - Submit all treatrnent papers duly notarizeo ard all oti8illal Tnedig3 biils of the relevant dates only atong wirh list of the salne. Photocopies of the bills will not be accePted t submit hecessary information along with all original bills and duly notarized medical papers yvith discharge ticket-and shal! also pr.oduce; if desiied' the original of the same as and when desired. I hdve not r.eceryg{ ar.v solarium from ""V ofi". fund or organizadon with reference to ex-gratia whi$ is claimed in this iilu. i J".f*" that rihatever information is given, is conqct and notltilg ttluU has ;;; ,1.1;liiur"in. tcindty arange to give me the ex-grada after verification-of all . SIGII|ATI.IRE OF APPUCATTT Verification and recothmendation of Presiderrt, Bar Association.
PRESIDENT, BAR ASSOCU\IION n, T1IE RAIASTTIAN ADVOCATES WETFARE FUNDRULES,I98S TIIE APPUANTION FORM FOR RECOGNITION AND REGISTRAIION. OF BAR ASSOCIATION APPLICATION BY T}IE BAR A.SSOCIATION FOR RECOGNITION AND REGISTRANON UNDER sEcnoN [a cHaprsR rv oF Tr{E RA"TAsTHAN aovocarriwer,ierii-':
FUNDACT,1987
1. Name of theAssociation
2. Year of incorporation . (with Rules and Bye L"aws of Association) g. Plaeeand Dlstrict ,
4. Whethbr previously rbgistered under anylaw :
g. Name and Address of the present oflice beare-rs (Schedule 'A ) 5, Narne arxl address of all rhe members ' including office bearers of the associatlon (wilh R. No, or date of enrolment, Date of Birth and Ordinary place of practice) (Schedule,B,) Z. The applicant association under takes to abide with .the,provisions of the Act Rules and directions given from time to time under the Act and Rules.
g. This application form must be accompied by Schedule A and B attested photo<opy of certificate of irrcorporatiory'registration as in Colurnn llo.4 PRESIDENT SECRETARY Datc VERIFICATION :
- It is hereby verifie<I.that the contents of rhis qpplication form schedule ,A, & ,8, and. other enclosures are corect on rhe rrasis'of ttre recoiJ;;i;;;"", PRESIDENT (fdl Name) SECRf,"TANY (Full Name)*+Il