ODISHA STATE BAR COUNCIL

Enrolment No

Date of Enrolment

Full Name

Father's Name / Husband Name

Dob

Gender

Whether S.C/S.T

Contact No

Permanent Address

AT-DAMODARPUR, PO-BIRAPRATAP PUR, DIST-PURI

Present Address

AT-DAMODARPUR, PO-BIRAPRATAP PUR, DIST-PURI

Year of Passing H.S.C

Marks secured in Degree Exam with %of Marks,other qualification

Name of the Law Collgege from which the applicant did

Year(LLB)

District

Place Of Pactice

Fees deposited under different heads of Account.

Secretary, Orissa State Bar Council

Transfer Fees

D.B.S.F Fees

Advocate. Welfare Fund of O.S.B.C

Secretary, B.C.I Fees

B.C.I Welfare Fund Fees

Trust Fees (A.W.F.T)

Name of the Nominee under D.B Scheme and Welfare Trust

Transfer/Death/Suspend/Resume