UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF NEW YORK ELECTRONIC CASE FILING TEST SYSTEM ATTORNEY/PARTICIPANT REGISTRATION FORM TEST CASES ONLY This form shall be used to register for an account on the Court’s Electronic Filing System . Registered attorneys and other participants will have privileges both to electronically submit documents, and to view and retrieve electronic docket sheets and documents for all test cases assigned to the Electronic Filing System. The following information is required for registration: First Name: ___________________________________________ Middle Name: _________________________________________________ Last Name: ___________________________________________ Bar ID # (if applicable): _______________________________ Firm Name: ___________________________________________ Firm Address: ___________________________________________ ___________________________________________ ___________________________________________ Voice Phone Number: __________________________________________ Fax Phone Number: ___________________________________________ Internet E-Mail Address: _________________________________________ By submitting this registration form, the undersigned agrees to abide by the following rules: 1) This system is for use only in U.S. Bankruptcy cases permitted by the U.S. Bankruptcy Court for the Southern District of New York. It may be used to file and view electronic documents, docket sheets, and notices. 2) Documents are to be submitted electronically only in Portable Document Format (PDF). American LegalNet, Inc. www.USCourtForms.com 3) The combination of the user identification and password issued by the court will serve as the signature of the attorney/participant filing the document. Individuals must protect the security of their passwords and immediately notify the court if they learn that their password has been compromised. Please return to : MIS Department, Att: Electronic Filing Registration U. S. Bankruptcy Court Southern District of New York One Bowling Green New York, NY 10004 Applicant Signature: ___________________________________ Date: __________ American LegalNet, Inc. www.USCourtForms.com