( to be typed on Rs.

20/- Non Judicial Stamp Paper)

BEFORE BAR COUNCIL OF ANDHRA PRADESH, AMARAVATI

AFFIDAVIT

I, ______________________ S/o/d/o. __________________________, aged

about __________ years, residing at ____________________________ do hereby
solemnly affirm and state as follows :

I am the deponent herein and I am well acquainted with the facts.

I have passed SSC examination in the year ________, Intermediate in the

year _________, Degree in the year ________ and studied law from ______ to
______ and passed in the year ___________ from _________ University.

I state that there is a gap_________ years between my studies and the

said during the gap I ____________________________________________________.

I declare that I am not in any full or part-time employment or service or

business and not engaged in any trade or profession and I have not incurred
any disqualification contemplated under section 24(A) of the Advocates Act,
1961.

Further, I state that all the above information furnished is true and
correct to the best of my knowledge and belief.

Sworn and signed before me

on this __________ day ____________ 2021.

Advocate DEPONENT
(Enrol No. AP/ / )