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FORM AFFIDAVITASTO APPLICANT S LAW …

Application for Admission to practice as an Attorney and Counselor-at-Law in the State of New York: APPLICANT s Law Related Employment1 APPLICATION FOR ADMISSION to practice AS AN ATTORNEY AND COUNSELOR-AT-LAW IN THE STATE OF NEW YORK FORMAFFIDAVIT AS TOAPPLICANT SLAW-RELATEDEMPLOYMENT AND/ORSOLOPRACTICENEWYORKSTATESUPREMECOU RTAPPELLATEDIVISION: (check one) the Matter of the Application of(name of APPLICANT )for Admission to practice as an Attorney and Counselor-at-Law. INSTRUCTIONS For each law-relatedemployment or period of sololaw practice listed by APPLICANT on the application for admissionquestionnaire (seequestion number 15), APPLICANT must submit this original form affidavit.

Application for Admission to Practice as an Attorney and Counselor-at-Law in the State of New York: Applicant’s Law Related Employment 2 2.To be completed only by affiants who are attorneys.

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