UNITED STATES DISTRICT COURT EASTERN DISTRICT OF LOUISIANA REQUEST TO BE ADMITTED TO THE BAR OF THE EASTERN DISTRICT OF LOUISIANA WITHOUT PERSONAL APPEARANCE The undersigned requests to be admitted without personal appearance for the following reason(s): (Please type or print) Enclosed is my completed Petition For Admission To Practice in the Eastern District of Louisiana and my executed oath required by the Court's Local Rule 83.2.2. Name of Applicant Signature of Applicant Address Louisiana Bar Roll Number City and State ORDER Date Considering the request of the petitioner for admission to the bar of the Court without personal appearance, and good cause having been shown; It is ORDERED that of this Court. New Orleans, LA. this day of , be admitted to the bar . United States District Judge American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURT EASTERN DISTRICT OF LOUISIANA WRITTEN OATH FOR ADMISSION TO PRACTICE 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 and defend the Constitution of the United States, so help me God. Print Name of Applicant Signature of Applicant Date Louisiana Bar Roll Number American LegalNet, Inc. www.FormsWorkFlow.com