Form5 Legal Consultant Registration Form

8/17/2019 Form5 Legal Consultant Registration Form

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LEGAL CONSULTANT INITIAL REGISTRATION APPLICATION FORM

IMPORTANT: Please note: All questions marked it! an asterisk "#$ are mandator%& An% questions t!at do notrelate to %our a''li(ation must )e marked *N+A,& -ou must not lea.e an% 'art o/ t!e Form )lank&

Please (om'lete LCR012 ele(troni(all%3 meanin4 all ansers are t%'ed and 'rint t!e /orm to si4n and date&T!e LA5 s!all not a((e't an% !andritten /orms and t!e a''li(ant must ensure t!e ori4inal si4ned .ersion issu)mitted to t!e LA5& T!e a''li(ant must retain a '!oto(o'% o/ t!e (om'leted /orm /or /uture re/eren(e&

If any details are incorrect, and/or incomplete, the Form may be returned to the applicant for proper completion and re-submission, which could result in a delay in issuing the Registration Identication Card to the applicant.

All egal Consultants that ha!e not re4istered on t!e Roll /or t!e %ear 261172612 must pay the outstanding fees of "wo "housand #irhams $%,&&&A'#(. Form CR-)% must be accompanied by the prescribed fee of To T!ousand and Ten5ir!ams3 "23666 AE5$ re4istration /ees 8 16 AE5 9noled4e Fee$ payable by either cash or che*ue to *&& T!eRuler;s Court,. +ubmission of the original form including all supporting documents contained in section $)&( must be sentto "he o!ernment of #ubai, egal Aairs #epartment. A''li(ations ill not )e 'ro(essed )e/ore /ull 'a%ment is

made and all required su''ortin4 do(uments are atta(!ed.

SECTION 1: NATURE OF APPLICATION

I hereby, apply to the o!ernment of #ubai, egal Aairs #epartment "*LA5,$ to be registered as a egal Consultant on

the Roll for the year %&)%-%&). I hereby apply to be registered on the following category (tick as appropriate)0:

1ractising egal

Consultant

☐

I wish to apply for a Legal Consultant Registration Card and have my name entered on

the Government of Duai! Legal "#airs Department Roll of Practising Legal

Consultants$ I declare that I am not aware of any %ndings! conduct or events which

would disentitle me! without disclosure! to e admitted on the Roll or e#ect my %tness

to hold a Legal Consultant Registration Card (other than that which is disclosed

herewith or previously disclosed)$ I acknowledge that payment of prescriedRegistration fee indicates that I also wish to e recognised as a &ractising Legal

Consultant$

2on-1ractising egal

Consultant

☐

I wish to apply and have my name entered on the Government of Duai! Legal "#airs

Department Roll of Non- Practising Legal Consultants$ I declare that I am not

aware of any %ndings! conduct or events which would disentitle me! without disclosure!

to e admitted on the Roll or a#ect my %tness (other than that which is disclosed

herewith or previously disclosed)$ I acknowledge that payment of the prescried

Registration fee indicates that shall e issued with 'on &ractising Legal Consultant

Registration Certi%cate and acknowledge that I am prohiited from providing legal

services under this category of registration$

I intend to pro!ide egal +er!ices in the following capacity $tic3 as appropriate(0

☐ egal Consultant employed by an egal Consultancy

Firm

☐ egal Consultant employed by an Ad!ocacy Firm

☐ 4anaging 1artner of a egal Consultancy Firm ☐ +ole 1roprietor of egal Consultancy Firm

1lease rmly secure a recent photograph in the space pro!ided below, in addition

1age ) of 5 AC-F&).'.6) 7 )5/)%/%&)%


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Instru(tions

1lease attach four $8( recent photographs $in addition to the one attached to this application

form(.9

1lease print clearly on the re!erse of each photograph your full name and the name of your

rm9

1lease sign and date the re!erse of each photograph9

8( 1lease ensure the si:e of the photos is appro;imately ts in the space pro!ided on the left

hand side of this section.

SECTION 2: PERSONAL INFORMATION

"itle0 ☐ 4r. ☐ 4rs. ☐ 4iss ☐ #r. ☐

A' Identity Card Issue

#ate0

>A' Identity Card ';piry

#ate0

SECTION


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=illable hourly rate0 Clic3 here to enter te;t. 4onthly salary0 Clic3 here to enter te;t.

If you ha!e changed legal consultancy rms within the last year $%&)) 7 %&)%( please complete below

2ame of Firm Clic3 here to enter te;t. #esignation $position held( Clic3 here to enter te;t.

#ate of @oining #ate of lea!ing

hich one or more of the following categories best describe your areas of practise and/or your specialitiesB

☐ Administrati!e

☐ Alternati!e #ispute Resolution

☐ Anti-4oney aundering

☐ Arbitration

☐ A!iation

☐ =an3ing Finance

☐ Commercial #isputes

☐ Company/Corporate

☐ Construction/ 'ngineering

☐ Contracts

☐ Criminal

☐ 'n!ironmental

☐ 'mployment

☐ Family 4atrimonial

☐ Free Dones

☐ Immigration

☐ Intellectual 1roperty

☐ International =usiness

☐ Islamic Finance

☐ Information "echnology

☐ abor

☐ itigation

☐ 4edia

☐ 4edical

☐ 4ergers Ac*uisitions

☐ Real 'state/1roperty

☐ Regulatory

☐ +hipping, "ransport 4arine

☐ "elecommunications

☐ "orts

☐ ills +uccession

☐: PROFESSIONAL MEM?ERSIP+@UALIFICATION"S$

1lease list all professional membership or *ualication$s( obtained to date0 (please use additional sheets if reuired)

(he information recorded in *ection + must pertain to all professional uali%cations otained in the legal %eld$ &lease

note that this section must not include any academic uali%cations in the su,ect of law)

"1$ Additional Le4al @uali(ations

2ame of professional

*ualication

Clic3 here to enter te;t.

Country / Eurisdiction obtained Clic3 here to enter te;t.

Regulatory Authority Clic3 here to enter te;t.

ear obtained Clic3 here to enter te;t. ';piry date

"2$ Additional Le4al @uali(ations

2ame of professional

*ualication

Clic3 here to enter te;t.

Country / Eurisdiction obtained Clic3 here to enter te;t.

1age of 5 AC-F&).'.6) 7 )5/)%/%&)%


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Regulatory Authority Clic3 here to enter te;t.

ear obtained Clic3 here to enter te;t. ';piry date

"


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ear obtained Clic3 here to enter te;t. rade obtained Clic3 here to enter te;t.

SECTION : PROFESSIONAL LEGAL EDPERIENCE

1lease select the categories of employment where you obtained your professional legal e;perience0

Le4al Consultan(% Firm "it!in

UAE$☐

2ame of


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2ature of duties Clic3 here to enter te;t.

Go.ernment 5e'artment "outside

UAE$☐

2ame of


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"


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the ,epartment in the event of undertaking any other profession or accepting any post with any other entity while registered on

the Roll of #egal $onsultants+ " understand that failure to do so shall render me liable for all legal consequences+

☐

" understand that " have an ongoing obligation to disclose to the overnment of ,ubai #egal %ffairs ,epartment as soon as

practicable information about any matter that might affect my continuing eligibility to be registered on the Roll of #egal

$onsultants+

☐

" ,'$#%R' that " have not been prosecuted or subect to any disciplinary proceedings either in the &nited %rab 'mirates or

abroad or pursuant to domestic or foreign law governing the practice of the profession nor have " acted in any way that could

have undermined public confidence in the proper practice of the legal profession nor reduced the dignity and status of #egal

$onsultant save and e3cept as disclosed to the overnment of ,ubai #egal %ffairs ,epartment+

☐ " ,'$#%R' and undertake that " will comply with any and all continuing legal professional development requirements which may

be imposed by the overnment of ,ubai #egal %ffairs ,epartment+ " further declare and undertake that " will comply with any

and all related reporting and recordkeeping requirements for such continuing legal professional development requirements in

effect from time to time+ " understand that " may be audited with respect such recordkeeping requirements and undertake to

produce any such documentation or information in compliance with such requirements-

☐ " confirm that all of the required documents enclosed with this form are authentic and the contents have not been altered nor

changed in any way calculated to mislead the ,epartment+

SECTION 10: SUPPORTING DOCUMENTS

1lease ensure that you ha!e attached all rele!ant documents to your application

No

& 5OCUMENTS+EI5ENCE O r i 4

i n a l

C o

' %

S i 4 n e d

S t a m

' e d ) %

r m N

o t a r i s e d #

L e 4 a l i s e d # #

(1) 4orm #$"56 #egal $onsultant "nitial Registration %pplication 4orm J J J

(2) 'vidence of 7rofessional #egal 8ualification 9 evidence of qualification that would qualify the

person for admission to the legal profession as a #egal $onsultant (or equivalent) in the Home

urisdiction where the applicant is authorised to practice law as a qualified #egal $onsultant 5 (or

equivalent)+ 1he evidence of qualification must be fully legalised and issued from the entity

responsible for regulating the legal profession in the Home urisdiction+

J J J J

(3) $urrent updated $; J

(4) 4ive ( name printed on reserve) J J J

(5) 7assport and residency visa (sponsor must be the employed firm) J J

() 7ayment of Registration fee 1wo 1housand ,irhams (6?5? %',) payable by cash or cheque made

to @H+H+ 1he Rulers $ourtA

(!) &nited %rab 'mirates "dentification $ard J J

) If the original documents are in a language other than Arabic or 'nglish, the applicant must

submit a certied Arabic and 'nglish translation of the document.

1age K of 5 AC-F&).'.6) 7 )5/)%/%&)%


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(8) % valid certificate of good conduct (issued from ,ubai 7olice) J J

A''li(ant Full Name: Clic3 here to enter te;t.

Si4nature:

5ate:

1age 5 of 5 AC-F&).'.6) 7 )5/)%/%&)%

Documents

Form5 Legal Consultant Registration Form