DELHI HIGH COURT LEGAL SERVICES COMMITTEE

33-38, Lawyers Chamber, Delhi High Court, New Delhi

Tel. No. 23383418, 43010101 Extn. 4381
Email : hclsthebest@yahoo.co.in
________________________________________________________________________________________________

Paste latest passport

APPLICATION FORM size photograph &
sign the same in
Application No._______________ (to be allotted by DHCLSC) such a manner that
part of signature
appears on the form
(To be filled by the candidate) and part on the
photograph.

IMPORTANT NOTE
Those candidates who had completed three years at the time of inviting
applications earlier between 18.02.2016 to 29.02.2016 and had applied at that
time need not apply afresh and their earlier applications shall be considered.
Those candidates who had though completed three years at the time of
inviting applications earlier between 18.02.2016 to 29.02.2016 but had NOT
applied at that time, may apply now, if they so desire.
Those candidates who had though NOT completed three years at the time of
inviting applications earlier between 18.02.2016 to 29.02.2016 but had applied at
that time, and now they have completed three years SHALL HAVE TO
APPLY AFRESH, if they so desire. It is made clear that their earlier
applications shall NOT be considered and if they desire to be empallened,
THEY MUST APPLY AFRESH.
Those candidates who had NOT completed three years at the time of earlier
applications and who have also NOT yet completed three years experience
NEED NOT APPLY.

Application for empanelment of :

(Please in one column as an applicant can apply for only one panel).

Criminal Panel

Civil Panel

Jail Visiting Panel

Mediator Panel

1. Applicants Name : _____________________________________________

(In Block Letters)
2. Fathers / Husbands Name : ____________________________________________
(In Block Letters)

3. Date of Birth (DD/MM/YYYY) : ____________________________________________

4. Age (as on 1st May, 2017) : ____________________________________________

5. Residence Address : ____________________________________________
____________________________________________
6. Office/ Chamber Address : ____________________________________________
____________________________________________
____________________________________________
Telephone No. (R) : ____________________________________________
Telephone No. (O) : ____________________________________________
Mobile No. : ____________________________________________
e-mail : ____________________________________________

7. Enrolment No. : ___________________ Date of Enrolment : ________________

(Attach self attested copy of enrolment certificate).

8. Actual practice experience (Duration of actual practice in the Courts): _____________

(Attach an experience certificate issued by the Bar Association/Council)

9. Specify the Jail where the candidate intends to visit, if necessary :

(Please the column)

Tihar Jail

Rohini Jail

Not interested in Jail Visits

10. Specify experience in :

High Court of Delhi/ Supreme Court of India _____________

District Courts / Labour Courts / MACT/ any other Fora _________________

11. Specify whether ever remained on the panel of the Delhi High Court Legal
Services Committee or Delhi State Legal Services Authority, if yes, give details :
______________________________________________________________________________
______________________________________________________________________________
12. Whether any disciplinary case/complaint is pending against the applicant with any
Bar Council/Authority or any criminal case is pending or has ever resigned / removed from
the panel of DHCLSC/ DSLSA. If yes, give details : ________________________________
______________________________________________________________________________
______________________________________________________________________________
13. List of the documents to be attached
Self attested copy of Degree of Law.
Self attested copy of Certificate of Enrolment.
Self attested copy of Experience Certificate.
In case applying for Civil & Criminal Panel, any one copy of Judgment/ order in which
applicant argued before High Court of Delhi.
In case applying for Mediator Panel, copy of 40 hours mediation training certificate.
Those candidates who had completed three years at the time of inviting applications
earlier between 18.02.2016 to 29.02.2016 and had applied at that time need not apply
afresh and their earlier applications shall be considered.
Those candidates who had though completed three years at the time of inviting
applications earlier between 18.02.2016 to 29.02.2016 but had NOT applied at that time,
may apply now, if they so desire.
Those candidates who had though NOT completed three years at the time of inviting
applications earlier between 18.02.2016 to 29.02.2016 but had applied at that time, and
now they have completed three years SHALL HAVE TO APPLY AFRESH, if they so
desire. It is made clear that their earlier applications shall NOT be considered and if
they desire to be empallened, THEY MUST APPLY AFRESH.
Those candidates who had NOT completed three years at the time of earlier
applications and who have also NOT yet completed three years experience NEED
NOT APPLY.

DECLARATION
I hereby declare that all the statements made in this application are true, complete and
correct to the best of my knowledge and belief. In the event of any information being found
false /incorrect at any stage, my candidature shall be liable to be rejected. I have read and
understood the instructions and terms and conditions of the empanelment and agree to
abide by them. I declare that I fulfill the eligibility conditions for the category to which I am
seeking empanelment. I am submitting only one application for empanelment.

Place: ________________

Date: ________________

(Signature of the Applicant)