Rule 370(1)(b) Form 91B Affidavit by clerk in support of application for admission AFFIDAVIT BY CLERK IN SUPPORT OF APPLICATION FOR ADMISSION I (full name, address and occupation of deponent) SWEAR ON OATH/DO TRULY AND SOLEMNLY AFFIRM (delete whichever is inapplicable) THAT: 1. My date of birth is (date). 2. I have complied with the academic requirements for admission meeting rule 2.1/4 (delete whichever is inapplicable) of the LPEAC Rules in that I have (set out details of the academic qualifications meeting rule 2.1 or rule 4 of the LPEAC Rules). 3. A true copy of the original certificate dated (date) that I have obtained or become qualified to obtain the academic qualifications referred to in paragraph 2 above (the original of which I am required to produce to the Law Society upon lodgment) is now shown to me marked ‘A’. I am the person therein named. 4. I was articled to (name of supervising practitioner), a practitioner of the Supreme Court of South Australia, pursuant to articles of clerkship dated (date). 5. In pursuance of the articles I served (name of supervising practitioner) as (his or her) clerk at (his or her) office situated at (place) in South Australia under (his or her) personal supervision and that of (his or her) partner (name of partner practitioner) who at all material times had been in practice in the said State for a continuous period of five years, continuously from the date of the execution of the articles to (date) inclusive, except as appears hereunder (full details are to be given of the applicant’s service under articles). 6. (delete if inapplicable) During my period of service, I was absent from the office and employment of (name of supervising practitioner) on duty as a member of the naval, military or air force of the Commonwealth of Australia as shown hereunder (give appropriate details to show whether any absence was permitted by the Rules). 7. (delete whichever paragraph is inapplicable) In addition to periods of absence to attend lectures and examinations and on annual leave for study or recreation, I was absent from the office and employment of (name __________________________________________________________________________________________ Current to 1 October 2014 of supervising practitioner) during my period of service with the consent of (name of supervising practitioner) or that of (his or her) partner on the following occasions (give length and occasion of each absence). (or) Except for periods of absence to attend lectures and examinations, and on annual leave for study or recreation, I was not at any time during my period of service absent from the office and employment of (name of supervising practitioner) or that of (his or her) partner. 8. I have not at any time during my period of service been absent from the office and employment of (name of supervising practitioner) without (his or her) consent or that of (his or her) partner. 9. I did not during my period of service, nor have I since my articles expired, pursued any occupation or business other than my employment pursuant to my articles or the proper business of a practitioner. Note 10. If the applicant has pursued any other occupation or business, particulars are to be given. During my period of service, I served (name of supervising practitioner) faithfully and diligently pursuant to my articles. 11. I have undertaken a supplementary course of study/tuition/training (delete whichever is inapplicable) meeting rule 2.4(c) of the LPEAC Rules approved by the Board of Examiners in that I have (set out details of the supplementary course of study/tuition/training meeting rule 2.4(c) or rule 4 of the LPEAC Rules). 12. A true copy of the original certificate dated (date) that I have obtained that I have undertaken the supplementary course of study/tuition/training (delete whichever is inapplicable) referred to in paragraph 11 above (the original of which I am required to produce to the Law Society upon lodgment) is now shown to me marked ‘B’. I am the person therein named. 13. I have in all other respects complied with Chapter 17 Part 4 of the Supreme Court Civil Rules 2006 and the LPEAC Rules 2004. 14. A true copy of my driver’s licence/passport/birth certificate (delete whichever is inapplicable) (the original of which I am required to produce to the Law Society upon lodgment) is now shown to me marked ‘C’. I am the person therein named. __________________________________________________________________________________________ Current to 1 October 2014 15. I have not been convicted or found guilty by a Court of any offences, nor, as far as I am aware, are there any charges or proceedings outstanding against me in relation to any offences alleged to have been committed by me (add, if necessary, ‘save and except that (or those) referred to in a direction (or intimation) of the Board of Examiners dated (date) in a sealed envelope now shown to me and marked “D”). Note 16. If the position is otherwise, full details must be given in relation to each offence or alleged offence in a separate statement, which is to be exhibited to the affidavit in a sealed envelope, of the date and nature of the charge, the Court in which it was or will be heard, the sentence (if any) imposed, and the circumstances in which the offence was or is alleged to have been committed. I have not otherwise done or suffered anything likely to affect adversely my good fame and character, nor am I aware of any circumstances that might affect my fitness to be admitted as a practitioner. Note 17. If the position is otherwise, set out any facts or circumstances that the applicant is required to bring to the notice of the Board of Examiners. These include that the applicant: (i) is or has been bankrupt and the circumstances of bankruptcy; (ii) has been found to have engaged in academic dishonesty such as plagiarism. I do not suffer from any illness or condition, either permanently or intermittently, that would affect my ability to perform all the duties and responsibilities reasonably required of a legal practitioner adequately or safely. Note If the position is otherwise, set out the facts and circumstances relating to any relevant illness or condition. 18. I am a resident in Australia. 19. (delete whichever paragraph is inapplicable) English is my native language. (or) English is not my native language. I am sufficiently fluent in written and spoken English to enable me to practise as a practitioner. __________________________________________________________________________________________ Current to 1 October 2014 Sworn/Affirmed (delete whichever is inapplicable) by the abovenamed deponent at (place) on (date) …………………………………….. (signature of deponent) before me …………………………………….. (signature and title of attesting witness) (print name of witness) (ID number of witness) __________________________________________________________________________________________ Current to 1 October 2014