(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 submitted that I was involved in the case (s)____________________________

Furnish the case details

I undertake to inform the final of the Case(s) to the Bar Council of Andhra
Pradesh as and when its’ disposal.

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/ / )