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User Type* AdvocateFirmParty In person
Name*      (To show on Board/Causelist)
Adv. Address*
Building
Street
Area
City*
District*
Pin Code*
Phone No.      (e.g. 02222672001)
Mobile No.*
Email*
Date of Birth    (dd/mm/yyyy)
Nickname*
Sanad No.*   (State Bar Council)
Enrolment Date*    (dd/mm/yyyy)
Registration No.   (O.S.)
Enrolment Date    (dd/mm/yyyy)
Security Code* (Without Space)

By Bombay High Court, I.T. Department.