Court Seal UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF NEW YORK


Petition for Admission/ECF Registration
 

Please read the INSTRUCTIONS for completing this application and then complete your personal statement on-line pursuant to Local Civil Rule 1.3(a) and Local Civil Rule 1.5(d)(1).

 
PRINTING:

NOTE TO ATTORNEYS: DO NOT PRINT THIS FORM!   PLEASE PRINT THE RESULTING PAGE
(AFTER COMPLETING FORM AND CLICKING Submit BELOW).

TO THE HONORABLE JUDGES OF THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW YORK
I submit the following personal statement for admission to the Bar of the U.S. District Court for the Southern District of New York.

Part A: Personal Statement (Personal Information, Business Information, Good Standing, Education, Electronic Case Filing)
Personal Information

(Please enter your full name, including suffix, e.g. Sr., Jr., II, III, etc.)

First Name:*     Middle Name:    Last Name:*     Suffix:

Residence Address:

   City:    State: (e.g. NY)    Zip:    County:

Business Information

Affiliation/Firm: * 

Address:*     Address2:

   City:*      State: (e.g. NY)*     Zip:*     County:* 

E-Mail:*     Telephone:*     Fax:

Title:*     Date of Employment: (mm/dd/yyyy)    Firm Telephone:* 

Good Standing

List jurisdictions & dates admitted & any attorney bar codes or state registration numbers (e.g. USDC EDNY 1/1/95, JS 1234; NY 1/1/90, 1234567).

Please indicate if you are requesting a waiver of the admission requirements to this bar because Request admission on motion of : you are admitted to practice and a member of good standing in U.S. D.C. Eastern District New U.S. D.C. Eastern District NY York. (Please attach supporting documents.)

Yes
No

Request admission on motion of U.S.D.C. Eastern District NY

Have you ever been convicted of a felony?

Have you ever been censured, disbarred or suspended from practice before any court?

Have you ever been denied admission or readmission to the bar of any court?

Are there any disciplinary proceedings presently pending against you?

Yes No

Yes No

Yes No

Yes No

If you answered yes to any of the above questions, please attach a separate statement explaining the nature of such actions or proceedings.

Education

Name of School
City and State where located

Dates of Attendance
From To (Month/Year)

Type of Degree Received

Date Degree Received or Expected

* 

Are you currently or have you ever been a law clerk to a District Judge or Magistrate Judge? If yes, give name and title of Judge and specify dates and location:

Electronic Case Filing Registration

By submitting this form electronically and in paper form, I hereby agree to abide by all Court rules, orders, policies and procedures governing the use of the electronic filing system. I also consent to service by electronic means in the circumstances permitted under those rules, orders, policies and procedures. I understand that the combination of user ID and password will serve as the signature of the attorney filing the documents pursuant to Rule 11 of the Federal Rules of Civil Procedure, the Federal Rules of Criminal Procedure and the Local Rules of this court. Therefore as a participating attorney, I agree to protect the security of my password and to notify the court immediately, if I suspect my password has been compromised. Also, as a participating attorney, I will promptly notify the court if there is a change in my personal data, such as name, e-mail address, firm address, telephone number, etc., and I will update the appropriate data within the ECF system.

Please provide an alpha, numeric or alphanumeric code (unique personal identifier) that will be maintained confidentially for confirming your identity over the phone. * 




UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK PETITION FOR ADMISSION

Enter your bar code in the certification section, then print and submit the form on-line. To complete the petition, follow the instructions outlined on either courthouse's instruction page. Petitioners may choose to be sworn-in either in White Plains or New York.

PRINTING:

NOTE TO ATTORNEYS: DO NOT PRINT THIS FORM!   PLEASE PRINT THE RESULTING PAGE
(AFTER COMPLETING FORM AND CLICKING Submit BELOW).

Certification

By submitting this form electronically and in paper form, I certify that my personal statement is complete and true to my own knowledge. I also certify that I have read Local Civil Rule 1.3 and I possess the qualifications required for admission to the Bar of the United States District Court for the Southern District of New York. To read the rule on-line, click the hyperlink, Local Civil Rule 1.3, or type the following address in your web browser: http://www1.nysd.uscourts.gov/rules/rules.pdf

Bar Code (SDNY):* 

Petitioner’s Signature

 

Part B: Notary Verification

 , being duly sworn, deposes and says that he/she is the petitioner in the above-captioned matter, that he/she has read the foregoing petition and knows the contents thereof, and that the same is true to his/her own knowledge.

Sworn to before me this   day of  , 20  . Notary Public

 

Part C: Sponsor's Affidavit

I,  , being a member of the Bar of the U. S. District Court for the Southern District of New York, state that the petitioner is personally known to me and possesses the qualifications, as well as the professional character, required for admission to the Bar of the Southern District of New York. I have reviewed the petitioner’s personal statement and believe it to be correct. I have known the petitioner since  ,   (Month, Year).

Sworn to before me this  day of

 , 20  .

Notary Public
 

Sponsor’s Signature

 

Firm

 

Address:

 

U.S. District Court – Southern District of New York

Dated:  

Application Granted
So Ordered.

 

United States District Judge

Oath of Admission (Applicant shall sign after the oath has been administered, then the seal of the court will be affixed.)

I,  , do solemnly swear (or affirm) as an attorney and counselor of this Court, that I will conduct myself uprightly and according to the law, and that I will support and defend the Constitution of the United States.

* Required fields.

6/2013 admissions.html

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United States District Court for the Southern District of New York

United States District Court
Southern District of New York
Daniel Patrick Moynihan U.S. Courthouse
Attorney Admissions
500 Pearl Street
New York, NY 10007-1312

United States District Court
Southern District of New York
Attorney Admissions
300 Quarropas Street
White Plains, NY 10601-4150