on practice at the office of that law practice at [address where applicant [*The law practice also has offices in [identify most often works] ]. location of other offices, if any] 3. I have held for a period of [number] years an Australian practising certificate authorising me to engage in legal practice as a principal within the meaning of the Legal Profession Uniform Law (Victoria) [*and previous corresponding enactments] and a certificate of standing issued by the Law Institute of Victoria is annexed. 4. I have completed a course of study related to notarial practice approved by the Victorian Legal Admissions Board, namely the course [identify and the course of study undertaken and completed], a certificate from the [name that I have completed that of institution] course is annexed hereto. 5. If a certificate of eligibility is granted to me and I apply to be appointed as a public notary under the Public Notaries Act 2001, I wish to comply with Rule 15.06 of Chapter II of the Rules of the Supreme Court by *taking an oath/*making an affirmation. 6. [*Subject to paragraph 7,] I have never been suspended from practice or found guilty of professional misconduct or unsatisfactory professional conduct in this or any other jurisdiction and to the best of my knowledge and belief no complaint against me to any designated local regulatory authority as defined in the Legal Profession Uniform Law (Victoria) is pending either in Victoria or elsewhere. *7. I bring to the notice of the Board the facts set out in the document which is exhibited to my affidavit and I ask the Board to consider whether those facts adversely affect my application. *Delete if inapplicable OF VERIFICATION I, [full *make oath/*affirm and say as name, address and occupation], follows: 1. I am the abovenamed applicant. 2. All of the information set out in this application is to the best of my knowledge and belief true and correct in every particular and the annexures are what they purport to be.
on practice at the office of that law practice at [address where applicant most often works] [*The law practice also has offices in [identify location of other offices, if any] ]. 3. I have held for a period of [number] years an Australian practising certificate authorising me to engage in legal practice as a principal within the meaning of the Legal Profession Uniform Law (Victoria) [*and previous corresponding enactments] and a certificate of standing issued by the Law Institute of Victoria is annexed. 4. I have completed a course of study related to notarial practice approved by the Victorian Legal Admissions Board, namely the course [identify the course of study undertaken and completed], and a certificate from the [name of institution] that I have completed that course is annexed hereto. 5. If a certificate of eligibility is granted to me and I apply to be appointed as a public notary under the Public Notaries Act 2001, I wish to comply with Rule 15.06 of Chapter II of the Rules of the Supreme Court by *taking an oath/*making an affirmation. 6. [*Subject to paragraph 7,] I have never been suspended from practice or found guilty of professional misconduct or unsatisfactory professional conduct in this or any other jurisdiction and to the best of my knowledge and belief no complaint against me to any designated local regulatory authority as defined in the Legal Profession Uniform Law (Victoria) is pending either in Victoria or elsewhere. *7. I bring to the notice of the Board the facts set out in the document which is exhibited to my affidavit and I ask the Board to consider whether those facts adversely affect my application. *Delete if inapplicable OF VERIFICATION I, [full name, address and occupation], *make oath/*affirm and say as follows: 1. I am the abovenamed applicant. 2. All of the information set out in this application is to the best of my knowledge and belief true and correct in every particular and the annexures are what they purport to be.
08-94sr023.docx