1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Email address: Address of Record: UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA IN THE MATTER OF: ................................................................. PETITION FOR BAR MEMBERSHIP (CIVIL LOCAL RULE 11-1) I, ..............................................................., an attorney qualified to practice before this Court, hereby respectfully submit the following information in support of my petition: ....................................................................... ....................................................................... ....................................................................... ....................................................................... Telephone No. of Record: ............................................. I am an active member and am in good standing in the State Bar of California. My California state bar number is: ...................... . I certify that I know the contents of the Federal Rules of Civil and Criminal Procedure and Evidence, the Rules of the United States Court of Appeals for the Ninth Circuit and the Local Rules of this court, that I am familiar with the Alternative Dispute Resolution Programs of this court and that I understand and commit to abide by the Standards of Professional Conduct of this Court. SWORN under penalty of perjury. Dated: ................................ PETITIONER OATH ON ADMISSION I, .................................................................. , do solemnly swear (or affirm) that as an attorney and as a counselor of this Court I will conduct myself uprightly and according to law, and that I will support the Constitution of the United States. Dated: ................................. PETITIONER Please note that this form requires either a handwritten signature or the image of your actual signature (i.e. an electronic signature). The court will not accept a typed or conformed "/s/" signature on this form. CAND PETITION & OATH (rev. 11-2016) American LegalNet, Inc. www.FormsWorkFlow.com