Attorney Admission Form. This is a Kentucky form and can be use in District Court Federal.
Tags: Attorney Admission Form, 419A-EDKY, Kentucky Federal, District Court
F orm 419A -E D K Y United States District Court EASTERN DISTRICT OF KENTUCKY ___________________________________________ The Application of _________________________________________________________ (N am e) _________________________________________________________ _________________________________________________________ (M ailing A ddress) for Admission to Practice. I hereby apply for admission to practice before the United States District Court for the Eastern District of Kentucky. I ask that my application and accompanying motion be considered and acted upon by any District Judge. I represent that I am an attorney of good moral and professional character and eligible for admission to the Bar of this Court. I have been admitted to practice before the following named Court or Courts (Please include bar membership number(s)): ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ I am a member in good standing of the Bar of each Court, as above indicated, to which I have been admitted. I have not been disbarred nor suspended from practice in any Court in any jurisdiction, nor disciplined in any fashion. (If there is any exception, the applicant shall so indicate, and attach a detailed explanation together with copies of any opinions, order or letters of discipline.) I was born on __________________________________at_______________________________________ (If not a citizen of the United States by birth, state date and place of naturalization. _______________________________________________________________________________________________ __________________________________) Date:____________________________________________________ _______________________________________________ (S ignature of A pplicant) Home Address: _______________________________________________ _______________________________________________ Telephone No.__________________________ Office Address: ______________________________________________ ______________________________________________ Telephone No._________________________ State of _____________________________________ County of ___________________________________ I, _______________________________________________, do solemnly swear that I will demean myself as an attorney and counselor of this Court, uprightly and according to law; and that I will support the Constitution of the United States. I do further swear that the statements in the foregoing application are true. __________________________________________________ (S ignature of A pplicant) Subscribed and sworn to before me this ____day of __________________________________, 2_______. _____________________________________________ _____________________________________________ _____________________________________________ American LegalNet, Inc. www.USCourtForms.com