Fillable ATTORNEY RENEWAL APPLICATION FOR ADMISSION TO PRACTICE (San Manuel Band of Mission Indians)

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ATTORNEY RENEWAL APPLICATION FOR ADMISSION TO PRACTICE (San Manuel Band of Mission Indians)

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The ATTORNEY RENEWAL APPLICATION FOR ADMISSION TO PRACTICE (San Manuel Band of Mission Indians) form is 3 pages long and contains:

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Attorney Renewal Application for Admission to Practice
8/15
Page 1 of 3
San Manuel Tribal Court
San Manuel Indian Reservation
3214 Victoria Avenue
Highland, CA 92346
Phone: (909) 907-6920
ATTORNEY RENEWAL APPLICATION FOR ADMISSION TO PRACTICE
1. Name:
LAST FIRST MIDDLE
2. San Manuel Bar Identification Number:
3. Residence:
STREET ADDRESS
CITY STATE ZIP CODE
4. Employer:
5. Business Address:
STREET ADDRESS ROOM/SUITE/FLOOR
CITY STATE ZIP CODE
6. Preferred Phone Number: Fax :
7. E-Mail Address:
8. Indicate preferred mailing address (Residence or Business):
Attorney Renewal Application for Admission to Practice
8/15
Page 2 of 3
9. Would you like the court to include your name and contact information in a public
list of San Manuel Tribal Court bar members? Yes No
10. Since your Initial Application or Subsequent Renewal, have you been admitted to
practice in any new courts? Yes No
If so, please identify the court(s) and date(s) of admission below:
11. Have you been held in contempt of court, censured, disbarred, or suspended
from practice before any disciplinary authority or court? Yes No
If so, please provide date(s), details, and disposition below:
12. Have you been convicted of any felony? Yes No
If so, please provide date(s), details, and disposition below:
13. Are you currently the subject of any criminal investigation or disciplinary
proceeding(s)? Yes No
If so, please provide date(s), details, and disposition below:
Attorney Renewal Application for Admission to Practice
8/15
Page 3 of 3
14. A &HUWLILFDWHRI6WDQGLQJIRU each of courWOLVWHGLQVHFWLRQDERYHLVDWWDFKHG
and I am in good standing in eachjurisdiction.
15. Check one of the following:
A check payable to the San Manuel Band of Mission Indians for
$100.00 is attached.
I am exempt from payment of bar admission fees as an attorney who will
be appearing before this court solely in the capacity as counsel for the
San Manuel Band of Mission Indians.
16. I understand that any license to practice before the San Manuel Tribal Court
must be renewed annually on or before February 1 of each calendar year by
completing a renewal application and paying a $100.00 application fee (unless
exempt) or such other fees established by the Tribe from time to time.
17. I hereby consent to the civil regulatory and adjudicatory jurisdiction of the San
Manuel Band of Mission Indians and its Tribal Court.
I declare under penalty of perjury under the laws of the San Manuel Band of
Mission Indians that the foregoing statements contained in this application and
any accompanying documents are true and correct, with full knowledge that all
statements made in this application are subject to investigation and that any false
or dishonest answer to any question may be grounds for denial or subsequent
revocation of license.
Date:
………………………………………
APPLICANT’S NAME APPLICANT’S SIGNATURE
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ATTORNEY RENEWAL APPLICATION FOR ADMISSION TO PRACTICE (San Manuel Band of Mission Indians)

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Completed 20 July 2020

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