DECLARATION FOR OBTAINING PRACTICING CERTIFICATE

I
……………………………………………………………………………………..
Name as it appears on the roll
Here declare as follows: - that it is to say:

1. (a) I was admitted a solicitor of Supreme

Court in the month of………………………………………………………………

In the year ………………………………… and place of Business is as follows: -

Department/Parastatal/Firm ……………………………………………………….

Plot/Stand No………………………………………………………………………

Name of Street …………………………………………………………………….

Name of Building …………………………………………………………………

Town ………………………………………………………………………………

(b) I was called to the bar by the Honourable

Society of ………………………………………………………………………….

at ……………………………… in the month of …………………………………

In the year of ……………………………………...… and my place of business is

as follows: -

Department/Parastatal/Firm ……………………………………………………….

Plot/Stand No………………………………………………………………………

Name of Street …………………………………………………………………….

Name of Building ………………………………………………………………….

PO Box ………………………………. Town…………………………………….

Tel:…………………………………….Fax ………………………………………

Cell:…………………………………....E-mail …………………………………...
 (c) I was admitted to practice as an advocate
In Zambia in the month of ………………………………………………………...
In the year ……………………………………...………………………………….
And my place of business is as follows: -
Department/Parastatal/Firm ……………………………………………………….
Plot/Stand No………………………………………………………………………
Name of Street …………………………………………………………………….
Name of Building ………………………………………………………………….
PO Box ………………………………. Town…………………………………….
Tel:…………………………………….Fax ………………………………………
Cell:…………………………………....E-mail …………………………………...
2. I practice in or see Note

Private Practice (ii)

(a) On my own account

(b) As an Assistant Advocate, Legal Aid Counsel, Legal Counsel in Government or
Parastatal
(c)Clerk, Deputy Clerk
(d)Assistant Advocate
(e)As a Partner
In the Department/Parastatal/Firm
………………………………………………………………………………………
………………………………………………………………………………………………

3. (iii) The provisions of section thirty-seven of the Legal Practitioners’ Act do not

apply to me.

Or

(iv) The provisions of section thirty-seven of the Legal Practitioners’ Act do apply to

me and I have duly given the notice required by that section

Dated this ………………………………….. day of ……………………………...

Signature …………………………………………………………………………..

To the Law Association of Zambia.

(i)All places of business if more than one, must be stated. If any changes have taken
place since last practicing certificate, particulars should be given.
(ii)Indicate as appropriate or insert any additional description which may be
necessary.
(iii)Strike out whichever of the two alternative paragraphs which does not apply.