S.I. No. 349/1995 - Solicitors (Practising Certificates 1996) Regulations, 1995.

Name:______________________

Enclosed Remittance

[See amounts set out on page 4.]

[Please tick as appropriate✓ ]

Name of Firm:________________

Registration Fee □

Principal Practice Address:

Compensation Fund Contribution □

__________________________

Society's Membership Subscription □

__________________________

Solicitors' Benevolent Association Contribution □

SECTION A — GENERAL

(1) I was admitted as a solicitor in the________ Sittings 19________.

(2) Last Practising Certificate:

[Please tick as appropriate ✓]

( a ) I currently hold a Practising Certificate issued to me which expires on 31st December, 1995. □

or

( b ) I have held a Practising Certificate issued to me which expired on 31st December, 1995. □

or

( c ) I last held a Practising Certificate for a practice year other than the practice year ending 31st December 1995 □

[See also (7) overleaf].

or

( d ) I am not required to hold a Practising Certificate by reason of being—

(i) a solicitor in the full time service of the State*; □

or

(ii) a conveyancing only solicitor employed by a non-solicitor*. □

or

( e ) This is my first application for a Practising Certificate □

[See also (7), overleaf].

*See notes on page 4.

(3) I currently hold a certificate entitling me to practise as a solicitor in the following other jurisdiction(s):

(4) My current professional status is:

[Please tick as appropriate ✓ ]

Sole practitioner (i.e. practising as a sole principal in a solicitor's practice) □

or

Partner in a solicitor's practice (including a salaried partner) □

or

Consultant solicitor in a solicitor's practice □

or

Employed solicitor in a solicitor's practice □

or

Solicitor employed by a non-solicitor (e.g. financial institution, commercial entity, statutory body) □

or

Locum (solicitor intending only to practise on short-term contract or employment basis) □

or

Other [please specify]

□

(5) Particulars of practice:

( a ) Name(s) of practice(s)

( b ) Name of managing partner/solicitor-in-charge

( c ) Principal Practice address:

( d ) Other Practice address(es):

(6) QUESTIONS OF THE REGISTRAR OF SOLICITORS TO BE ANSWERED BY EACH APPLICANT FOR A PRACTISING CERTIFICATE, PURSUANT TO PART V OF THE SOLICITORS ACT, 1954 , AS AMENDED AND EXTENDED BY PART VI OF THE SOLICITORS (AMENDMENT) ACT, 1994 .

[Please tick Yes/No box as appropriate ✓ ]

( a ) Has the last Practising Certificate issued to you been suspended, issued subject to conditions or been endorsed with conditions?

Yes □ No □

( b ) Since the last Practising Certificate issued to you, have you failed to comply with the Solicitors Acts, 1954 to 1994 or with any order or regulation made thereunder, including the Solicitors Accounts Regulations No. 2 of 1984?

Yes □ No □

(c) Since the last Practising Certificate issued to you, have you been notified that you have failed to satisfy the Society that you exercise adequate personal supervision over any office or place of business?

Yes □ No □

(d) Since the last Practising Certificate issued to you, have you been notified that you have failed to give the Society an explanation which the Society regards as sufficient and satisfactory in respect of any matter affecting your conduct?

Yes □ No □

(e) Since the last Practising Certificate issued to you, has an order of attachment or committal been made against you?

Yes □ No □

( f ) Since the last Practising Certificate issued to you, have you entered into a composition with your creditors or deed of arrangement for the benefit of your creditors?

Yes □ No □

(g) Since the last Practising Certificate issued to you, have you failed to comply with an order of the High Court or any other court or courts?

Yes □ No □

(h) Since the last Practising Certificate issued to you, have you failed to comply with a determination, requirement or direction of the Society under Section 8 9 or 10 of the Solicitors (Amendment) Act, 1994 ?

Yes □ No □

(i ) Since the last Practising Certificate issued to you, have you been sentenced to a term of imprisonment?

Yes □ No □

(j) Since the last Practising Certificate issued to you, have you failed to satisfy the Society that you are fit to carry on the practice of a solicitor, having regard to the state of your physical or mental health?

Yes □ No □

(k) Since the last Practising Certificate issued to you, have you failed to satisfy the Society that, having regard to all the circumstances, including the financial state of your practice, you should be issued with a Practising Certificate or a Practising Certificate not subject to a specified condition or conditions?

Yes □ No □

(l) Is this application by you for a Practising Certificate following upon the expiration of a period of suspension from practice?

Yes □ No □

(m) Is this application by you for a Practising Certificate following upon an order by the High Court restoring your name to the Roll of Solicitors?

Yes □ No □

(n) Has any judgement(s) or decree(s) been given against you [other than judgement(s) or decree(s) to which you are entitled, as respects the whole effect of the judgement(s) or decree(s) upon you, to indemnity or relief from any other persons] which remain(s) unsatisfied in whole or in part? [If applicable, details should be submitted with this form of application of any such judgement(s) or decree(s), including evidence of the satisfaction thereof.]

Yes □ No □

(o) Have you been adjudicated a bankrupt?

Yes □ No □

(p) Do any of the provisions of the Lunacy Regulation (Ireland) Act 1871 (or any Act amending or extending that Act) relating to management and administration of property apply to you?

Yes □ No □

(7) [To be completed by a solicitor who did not hold a Practising Certificate for the immediately preceding practice year other than a solicitor who is making his/her first application for a Practising Certificate immediately following upon his/her admission as a solicitor.]

I did not hold a Practising Certificate since the practice year ending 5th January 19_____ for the following reason(s):__________________________________

Section B — Solicitors Accounts Regulations No. 2 of 1984

[Part I of this Section must be completed by a solicitor who is practising in a solicitor's practice as a sole principal or as a partner, or by any other solicitor who handles clients' moneys. The declaration in Part II of this Section must be signed by a solicitor to whom Part I of this Section does not apply.]

Part I:

(a) The last Accountants Certificate delivered to the Society was for the Accounting Period ending on the _______ day of _____________ 199____.

(b) The name and address of my certifying accountant(s) is/are: _________

(c) [If an Accountants Certificate has never been delivered to the Society]

Date of commencement in practice: _________________________________

OR

Part II:

[The declaration set out below should be signed by an employed solicitor in private practice, or by a solicitor employed by a non-solicitor, who has not handled clients' moneys during the preceding practice year except on behalf of his/her employer.]

I declare that I have not handled clients' moneys at any time during the immediately preceding practice year, except on behalf of my employer.

Signature

________________________________________

Section C — Professional Indemnity Insurance

[This Section must be completed to comply with the Solicitors Acts, 1954 to 1994 (Professional Indemnity Insurance] Regulations, 1995, ( S.I. No. 312 of 1995 ). Part I of this Section must be completed by a solicitor other than a solicitor to whom Part II or Part III of this Section applies.]

Part I:

(a) Name of Professional Insurer: ______________________________________

(b) Amount of Professional Indemnity cover [If cover exceeds £350,0001, reply: "Over £350,000".]: _____________________________________________

(c) Date of expiration of current period of Professional Indemnity cover:_________

___________________________________________ _________________

I confirm that the particulars set out above in (a), (b) and (c) are correct at the date of this application, and I undertake that I will use my best endeavours to furnish (or cause to be furnished) to the Society, not later than 15 days after the date of the expiration of my current period of Professional Indemnity cover as set out in (c) above, confirmation from a qualified insurer** of there being in force relating to me the minimum level of cover (350,000) from the date of such expiration until at least the 31st day of December, 1996.

Signature ___________________________________________

OR

Part II:

[Part II of this Section applies to a solicitor who provides legal services** (or conveyancing services** only] to and for his/her employer, provided that such employer is not a solicitor.]

I certify that I am a solicitor employed full-time within the State to provide legal services**(or conveyancing services** only) to and for my employer, who is not a solicitor, and I further certify that, for the duration of the practice year to which this application relates, I will not engage in the provision of legal services** (or conveyancing services** only) to and for any person or persons other than my employer.

Signature ___________________________________________________

**Within the meaning of S.I. No. 312 of 1995 .

OR

Part III:

[Part III of this Section applies to a solicitor who has indemnity cover by reason of holding a current certificate issued by the Law Society of Northern Ireland or (in relation to England and Wales) the Law Society corrresponding to a Practising Certificate issued by the Society.]

I certify that there is in force relating to me indemnity cover in respect of the practice year to which this application relates which is substantially equivalent to at least the minimum level of cover (350,000), arising by reason of my also holding a current certificate issued by the Law Society of Northern Ireland or (in relation to England and Wales) the Law Society corresponding to a Practising Certificate issued by the Society.

Signature _______________________________________________

I hereby declare that the particulars set out in Sections A, B and C of this application are correct of my knowledge, information and belief.

Dated this ____ day of _______________________199 _____.

Name (block letters) __________________________________

Signature___________________________________________

Membership of the Society

I hereby apply for membership of the Society for the practice year commencing 1st January, 1966.

Signature ____________________________

Solicitors admitted 3 years or more on 1st January, 1996

Solicitors admitted less than 3 years on 1st January, 1996

£

£

Registration Fee

545

380

Compensation Fund Contribution

600

600

[see note 2 below]

____

____

1,145

980

Society's Membership Subscription

50

25

[see note 5 below]

____

____

1,195

1,005

Solicitors' Benevolent Association

25

15

Contribution

[see note 5 below]

____

____

Total

1,220

1,020