Solicitor Checklist for Advice to Release (For EB Only) Bank’s Reference Number Solicitor’s Reference Number Borrower / Customer / Chargor / Assignor Name Loan / Facility / Facilities Type Property Details & Description ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------We refer to the above matter and confirm the following – Section 1 – Security Documents: Enclosed herewith security documents for your safe keeping. (Please fill in details & tick (√) the boxes as applicable) (dd/mm/yy) Nominal Advalorem NA Presented or Registered Witnessed by Solicitor NA NA Undertake Photocopy Document Name Enclosed CTC No Stamped Affixed Company Rubber Stamp / Common Seal Original Duly Document Creation Date to Forward Original NA a. LO acceptance date by authorized person of the corporate body is on/after Board of Resolution date. b. In case of Notification LO, please submit the original copy to Bank. No stamping required in such cases. c. All pages (including appendix) must be initialed by signatory(ies) 1. Original and Supplementary Letter of Offer (LO) d. Authorized signatory must be in accordance to Board Resolution/All partners (partnership) must sign the LO. e. Signature must be consistent with supporting documents (BOD, FA etc) f. In case of Supplementary LO, please submit stamped supplementary LO. g. Appendix E & Declaration Form to be attached and properly filled-up. h. Must Affix Company’s / firm’s rubber stamp i. Duly verified by Sales. NA NA NA NA a. Director’s to initial on all the pages. b. For Sdn Bhd/Bhd, common seal is compulsory. For partnerships/sole-proprietorship, to affix firm’s rubber 2. Facilities Agreement stamp. c. Authorized signatory must be in accordance to Board Resolution/All partners (partnership) must sign the LO. d. Signature must be consistent with supporting documents (BOD, LO etc) e. Any amendment made must be properly endorsed. 3. Joint & Several Guarantee (By Individual) Version 2.0 NA NA NA NA NA NA a. Guarantor’s to initial on all the pages. All the details in the Schedule to be completely filled by the Solicitor. Page 1 Solicitor Checklist for Advice to Release (For EB Only) Presented or Registered Stamped (dd/mm/yy) NA Witnessed by Solicitor NA Undertake Photocopy Document Name Enclosed CTC No Affixed Company Rubber Stamp / Common Seal Original Duly Document Creation Date NA NA to Forward Original NA a. Directors to initial on all the pages. All the details in the Schedule to be completely filled by the Solicitor. b. To furnish Company Secretary’s certified copy of Form 24, 44, 49 & Memorandum & Association c. To furnish Board Resolution to extend guarantee/charge and certified/endorsed by company secretary. d. Solicitor’s to confirm the empowerment/provision of providing guarantee/charge/security under the 4. Corporate Guarantor / Guarantee Indemnity (By Company) company’s M&A. e. Validity of CCM Search up to 6 months only f. Solicitor’s legal opinion on the compliance of statutory regulation or law (e.g. Section 133 & 133A of Company Act, 1965) g. Solicitor’s legal opinion on the validity and enforceability of foreign security provider(s) h. For non-resident guarantor(s), to register the guarantee with Bank Negara Malaysia if the aggregate amount of financial guarantee(s) exceeds RM50,000,000.00 i. To furnish winding up search not latter than 6 months 5. Asset Sales Agreement (ASA) / Asset Purchase Agreement (APA) – For Islamic Facility under Bai’ Inah Bai’Bithaman Ajil (BBA) 6. Letter of Hibah 1 & 2 (For Islamic Facility under Bai’Bithaman Ajil concept) 7. Letter of Consent (For all Islamic Facility – 3rd party cases) 8. Purchase Request cum Undertaking (For Islamic facility under Tawarruq concept) NA NA NA NA NA NA a. APA should be stamped earlier than ASA or simultaneously. b. If the facility is under Bai' Al-'Inah Concept then solicitor needs to have the Asset Sequence Number to be incorporated in APA & ASA prior to stamping. NA NA NA NA NA NA NA a. To affix company rubber stamp or common seal in the relevant column. NA NA NA NA NA NA NA NA NA NA NA a. Ensure that the Purchase Request cum undertaking is properly filled up and endorsed by customer. 9. Murabahah Sale Confirmation (For Islamic facility under Tawarruq concept) NA NA NA NA NA NA a. Ensure that the date and quantity is properly filled up in the Murabahah Sale Confirmation. b. Copy of duly completed Murabahah Sale Confirmation has been extended to customer. Version 2.0 Page 2 Solicitor Checklist for Advice to Release (For EB Only) Property(ies) With Individual or Strata Title NA NA NA a. To provide the Date of Presentation / Memorial No. Date ……………………………………........ 10. Charge(s) b. To provide the Presentation No. / Memorial No. ………………………………………………… c. To enclose the Presentation Receipts / Form L. To provide Letter of Undertaking to forward to the Bank the original duplicate copy of charge and original title. d. To provide State Authority Consent to Charge/To transfer (if applicable). 11. 12. Charge in Escrow (For Sabah & Sarawak Only) Caveats (Private Caveat or Lien-Holder’s Caveat) NA NA NA NA NA NA NA NA NA NA NA a. To provide the Date(s) of Lodgment / Memorial No. Date …………………………… and Presentation No. / Form L No. …………………………….. b. To enclose the photocopy of receipt(s). Property(ies) under Master Title NA 13. Deed(s) of Assignment (By way of Security) NA NA a. Document to be duly executed b. To comply with S22D / Endorsed by Developer & Proprietor (whichever applicable) c. To provide the date of submission for adjudication as ……………………………………………………… d. Notice of assignment duly acknowledged by developer NA 14. Power of Attorney NA Receipt & Reassignment / Discharge of Charge Version 2.0 Caveats NA a. Document to be duly executed b. To comply with S22D / Endorsed by Developer & Proprietor (whichever applicable) c. To provide the Revocation of PA No(s) & date(s) of filing. Also enclose receipt(s) photocopy (ies) (if applicable) d. To provide the Date of Presentation/Registration ………………………………………… & Presentation No. of Discharge of Charge or Date of Revocation of PA and PA Revocation No. Enclosed Presentation/Registration Receipt. (if applicable) NA 16. NA a. To provide the Registration No. ………………………………… and Date of filing on ……………………………… (if applicable) b. To enclose the photocopy of high / lower court receipt(s) (if applicable) NA 15. NA NA NA NA NA a. To confirm that Caveat(s) lodged on Individual/ Master / Block Title. Enclose photocopy of receipt(s). b. Date of Presentation / Memorial No. Date …………………. and Presentation No. / Form L No. / Memorial No. ……………………………………. (NB: If Developer does not consent, solicitors are to request Bank for waiver in advance) Page 3 Solicitor Checklist for Advice to Release (For EB Only) Other Security Documents NA NA 18. Deed(s) of Assignment (By way of Transfer) NA NA Duly No. Document Name Document Creation Date (dd/mm/yy) Stamped Nominal Advalorem NA Sale & Purchase Agreement (SPA) 19. / Proclamation of Sales / Memorandum of Contract for Auction Cases 20. Version 2.0 Debenture Presented or Registered Witnesse d by Solicitor Affixed Company Rubber Stamp / Common Seal Enclosed NA Undertake to Forward Original NA NA NA NA a. To provide Rental proceeds amount and CIMB Bank Escrow A/C No. as per LO b. PA Registration Date……………………………………….……. and Registration No. …………………..…………….. (if applicable) c. To provide CTC Tenancy Agreement d. Certified copy of duly served Notice to tenant on assignment of rental e. Copy of PA registration slip to be furnished NA 21. NA a. Property With Title – CTC of complete photocopy / Property Without Title – Original SPA b. To enclose the CTC official receipt of the confirmation of payment of the differential sum between SPA purchase price & relevant facility amount c. If above not enclosed then provide Letter of Confirmation from Vendor or Developer and to mention the amount received. d. Completion Date …………………………………….. and the Extended Completion Date ………..………………………………… e. Balance purchase price to be made according to SPA terms. In the event payment is made to vendor, the vendor’s solicitor need to provide a consent letter agreeing to this mode of payment. f. Deed of mutual covenants. g. To confirm that the top-up sum is collected and in the custody and undertake to forward to chargee Bank together with the redemption sum. h. To provide the Auction Date as …………………………… and the Auction Sum as ……………………………………………. i. To provide the Property Details. NA Assignment of Rental Proceeds NA a. Document to be duly executed b. To comply with S22D / Endorsed by Developer & Proprietor (whichever applicable) c. Date of submission for adjudication ……………………………………………………… d. Notice of assignment duly acknowledged by developer Photocopy (MOT) NA a. Document to be executed, stamped and adjudicated. b. To provide a copy of MOT and evidence of submission of adjudication c. To provide State Authority Consent to Transfer (if applicable) d. Date of Presentation / Memorial Date……..……………. and Presentation No. /Form L No. / Memorial No. …………… CTC Memorandum of Transfer Original 17. NA NA NA a. PA Registration Date………………………………………….…. and Registration No. …………………………………… (if applicable) b. Copy of PA Registration Slip to be furnished c. For specific debenture, to ensure the details of assets consistent with the invoice/purchase order etc. Page 4 Solicitor Checklist for Advice to Release (For EB Only) NA 22. Memorandum of Deposit of Fixed Deposit Receipt Letter of Authorization (D012) Letter of Authorization for Sinking Fund (D012A) Version 2.0 Upfront FD NA NA NA NA NA NA NA NA NA NA NA NA a. To fill in complete details in the Schedule and Form by the Solicitor. b. Duly verified by Sales / Solicitor. c. To be executed by the depositor d. Customer / Depositor initial in all the pages. e. To affix Company’s Rubber Stamp if the depositor under 1st party NA 25. NA a. To fill in complete details in the Schedule and Form by the Solicitor. b. Duly verified by Sales / Solicitor. c. To be executed by the depositor d. Customer / Depositor initial in all the pages. e. To affix Company’s Rubber Stamp if the depositor under 1st party NA 24. NA a. To fill in complete details in the Schedule and Forms by the Solicitor. b. Duly verified by Sales / Solicitor. c. To be executed by the depositor d. Customer / Depositor initial in all the pages. e. To affix Company’s Rubber Stamp if the depositor under 1st party NA 23. NA NA a. Stamped Memorandum of Deposits (D013) b. Stamped Letter of Authorization (D012) c. Solicitor to ensure the ‘depositor’ defined in te FA is same with the MOD/LA signatories. d. To lodge Form 34 if FD is under 1st party (Sdn Bhd) Page 5 Solicitor Checklist for Advice to Release (For EB Only) (dd/mm/yy) Nominal Advalorem NA 26. Previous / Series Original Deed of Assignment (By Way of Transfer) NA Previous / Series Original Deed of Assignment (By Way of Security) NA 28. Construction Agreement 30. Statutory Declaration for owner occupation /business/legal action NA NA a. To provide the Revocation of PA No(s) …………………………… & date(s) of filling………………...……………(if applicable) Narration ……………….……………………………………………………………………………………………………………………………………………………………… ………………..…………………………………………………………………………………………………………………………………………………………… ………………………………….…….…………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………….…………………………………………………………………………………………………… …………………………………………………………………………………………….………………………………………………………………………………. NA NA NA NA NA a. To provide original construction agreement duly executed by all parties. b. To include property details and the construction sum. c. Contractor to confirm that the differential sum between loan sum and contract sum duly settled. d. To obtain approval from Municipality. NA Version 2.0 NA Narration ………………………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………………………… ……………….…….……………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………….……………………………………………………………………………………………………………………… ………………………………………………………………………….…………………………………………………………………………………………………. NA 29. NA NA NA Previous / Series Deed of Receipt & Re-assignment NA Undertake to Forward Original Narration ………………………………………………………………………………………………………………………………………………………………………………. .……………………………………………………………………………………………………………………………………………………………………………… ………….…….…………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………… ………………………………………………….…………………………………………………………………………………………………………………………… …………………………………………………………………….………………………………………………………………………………………………………. NA 27. Presented or Registered Photocopy Document Name Witnessed by Solicitor Enclosed CTC No. Stamped Affixed Company Rubber Stamp / Common Seal Original Duly Document Creation Date NA NA NA NA NA NA a. To check the accuracy of the name and NRIC of the Borrower and / or Security party and the property details b. Affirmation by Commissioner of Oaths. c. Owner occupied if applicable Page 6 Solicitor Checklist for Advice to Release (For EB Only) (dd/mm/yy) 30. Letter of Subordination from all directors and/or shareholders (if applicable) 31. Reimbursement Case 32. Paid Up Capital 33. Official Receipt differential sum between balance purchase price and loan amount Nominal Advalorem NA Presented or Registered Witnessed by Solicitor NA Photocopy Document Name Stamped Enclosed CTC No. Document Creation Date Affixed Company Rubber Stamp / Common Seal Original Duly NA NA Undertake to Forward Original NA For reimbursement case, original copy of official receipt to be submitted as evidence payment duly settled Solicitor’s to furnished written confirmation together with copy of company secretary’s certified true copy of Form 24. Solicitor’s to provide Official Receipt differential sum OR Confirmation Letter from Vendor/developer. Please mention below any other documents if deemed necessary for submission for advice to release. ………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………… Version 2.0 Page 7 Solicitor Checklist for Advice to Release (For EB Only) Section 2 – Searches (Validity – Last 6 months from ATR): Please Tick (√) No. A. Requirement for Land Search Yes a. Date of Land Search which is……………………………………………………………………. a. The date of land search must be on / after Presentation of Caveat or Charge b. To provide name of the Registered Owner c. For Strata / Subsidiary Searches – To provide manual search (for peninsular Malaysia) / Photocopy or Xerox Search with official stamp (for Sabah) / official Title search (for Sarawak) d. For Individual Title Searches – To provide online search (for peninsular Malaysia) / Photocopy or Xerox Search (for Sabah) / official Title search (for Sarawak) e. Any expressed condition / land usage f. Any Encumbrances on the Title / Strata Title? g. To provide State Authority Consent to Charge/Transfer (If Applicable) h. Validity of Land Search up to 6 months from the date of Advice To Release Letter i. Caveats & Other Endorsements on the Title? If Yes, Please Explain ………………………………………………………………………………………………………………………………………………….. No ……………………………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………………………………. No. B. Requirement for Bankruptcy Searches & Winding-Up Searches & Searches Conducted at Companies Commission of Malaysia (CCM) &/or Registry of Business (ROB) [On Borrower / Customer, Security Parties, Vendors, Shareholders, Directors of the Company] a. All Bankruptcy / winding-up searches enclosed (dated within last 6 months) or i. Solicitor’s confirmation that all searches have been applied for; AND ii. Statutory Declarations by relevant individual / director / shareholder (not wound-up / not Bankrupt) all enclosed pending receipt of the official searches b. Photocopies of identity cards (Directors, Borrowers / Customers, Guarantors, Vendor, Shareholders) enclosed; Note – All Identity Cards need to be CTC or Original Copy Sighted Please Tick (√) Yes No (i) If relevant party is a sole-proprietorship or partnership, ROB search enclosed; (ii) If relevant party is a company, CCM search enclosed. - charge(s) disclosed; - copy of Form(s) 34 obtained; - Letter of consent / disclaimer obtained from existing chargee (if applicable) Version 2.0 Page 8 Solicitor Checklist for Advice to Release (For EB Only) Section 3 – Corporate / Business Capacity & Confirmations (For Borrower / Customer, Security Provider, Vendor etc.) Note – All corporate documents must be certified true copy by the Company Secretary Please Tick (√) No. A. If relevant party is a Sole-proprietorship or Partnership Yes a. Name of Sole-proprietor or all partners b. Photocopy of business registration certificate to be enclosed c. Certified True Copy of Form D/E No. B. If relevant party is a Sdn. Bhd. No Please Tick (√) Yes a. No Certified True Copies (CTC’s) of Memorandum and Articles of Association (M&A) enclosed; (i) Non-contravention of companies powers & directors’ powers (ii) Please state the relevant clauses/paragraphs in the M&A which permit the exercise of the relevant powers (e.g. borrow / charge / purchase / guarantee); If third party security (including corporate guarantee/pledge) is /to be provided, the powers to secure/guarantee third party borrowing is expressly provided for in the M&A; please state relevant clause/paragraph; b. CTCs of Form(s) 24, Form(s) 49 & Form(s) 44 enclosed c. CTCs of Directors’/Members’ Resolutions (to borrow, charge/pledge, guarantee, sell, purchase etc.) enclosed d. CTC of Annual Return enclosed e. Borrower’s / Customer’s / Security Provider’s Company secretary’s confirmation in writing to the Bank that no prior encumbrance except as already disclosed to the Bank & no prior debenture has been created f. If there is an earlier debenture created by Borrower / Customer, Security Provider, letter of consent & exclusion from prior debenture-holder addressed to the Bank, in respect of security to be taken by the Bank g. Form 34 (Statement of Particulars of Charge) has been lodged at CCM within 30 days of creation of security by relevant company; photocopy of CCM receipt & Form 34 enclosed h. Form 40 to be enclosed If Form 40 not enclosed, Solicitors undertake to deliver Form 40 to Bank upon receipt from CCM i. Solicitors to confirm non-contravention of Section 133 and 133A of Companies Act 1965 j. Solicitors confirm non-contravention of all other applicable laws & regulations k. Execution of Facility / Security Documents / SPA is by person authorized in relevant resolution on or after the date of issuance of the relevant resolution Version 2.0 Page 9 Solicitor Checklist for Advice to Release (For EB Only) Please Tick (√) No. B. If relevant party is a Sdn. Bhd. Yes l. Company is not a Non-Resident Controlled Company (NRCC) under Bank Negara Malaysia’s Exchange Control Regulations, ECM 8. m. If it is a NRCC, has EPU (Economy Planning Unit) approval / State Authority approval / Controller of Foreign Exchange / all other approvals been obtained for the purchase, sale, transfer or charge. n. If the vendor is a private limited company, the following documents are required: No a. Original / CTC Board of Directors Resolution to dispose property. b. CTC Form 24, 44, 49 and M&A. o. Confirmation on increasing paid up capital (if applicable) and to attach the latest CTC by Co. Sec. of Form 24 as documentary evidence. p. Confirmation of differential sum / settlement of legal fees / valuation fees and disbursement where the legal fees / valuation fees financed by the Bank q. Photocopy of quit rent receipt(s) of relevant Property (if with title) or Master Title(s) (if Property without own title) r. Photocopy of assessment receipt(s) for Property s. Photocopy of Certificate of Fitness for Occupation (if applicable) t. Photocopy of Contractor’s All Risks Policy (if under construction) u. Photocopy of Master Insurance Policy (if Property without own title). To include Mortgagee Clause - CIMB Bank Berhad/CIMB Islamic Bank Berhad v. Original Progress Billing and Photocopy of Architect Certificate Version 2.0 Page 10 Solicitor Checklist for Advice to Release (For EB Only) Section 4 – Letter of Undertaking / Disclaimer (From Developer, SPA Solicitor, Vendor’s Solicitor, and Redemption Statement & Vendor) Please Tick (√) No. A. Property(ies) With Title / Without Title Yes a. No Original Existing Chargee’s undertaking & redemption statement (i) Undertake to forward original title, discharge of charge & duplicate charge or principal Sale & Purchase Agreement, Sub-sale agreement, DOA (by way of transfer), receipt and reassignment and series of document(s). (ii) Undertake to refund if charge is not registered or DOA is not perfected b. Letter of Undertaking to deliver Memorandum of Transfer in favor of Purchaser c. Letter of Undertaking to deliver issue document of title / strata title Please Tick (√) No. A. Property(ies) With Title / Without Title Yes d. Vendor’s original Letter of Undertaking to refund if MOT not registered or if the Deed of Assignment in favor of the Assignor (Security Party) (for sub-sale) is not perfected is enclosed; e. Developer’s (& Proprietor’s, if different from Developer) original consent & undertaking for assignment from Vendor to Assignor (Security Party) is enclosed; f. Developer’s (& Proprietor’s, if different from Developer) original consent & undertaking for assignment between Assignor (Security Party) and the Bank is enclosed; - have all the conditions stated therein been fulfilled? g. Solicitor’s original Letter of Undertaking in favor of Bank , to deliver stamped Deed of Assignment in favor of Assignor (Security Party)(if sub-sale) is enclosed; h. Solicitor’s original undertaking in favor of Bank to deliver valid & registrable Memorandum of Transfer in favor of Assignor (Security Party) upon issuance of separate / strata title is enclosed. i. If Master Title is subject to a charge, original Letter of Disclaimer from master chargee in favor of the Bank is enclosed. No If Master Title chargee confirm that it will not issue any Disclaimer until it is released from previous undertaking granted to the Existing Assignee (financier), the following documents are to be enclosed; i. a photocopy of the Master Chargee’s aforesaid confirmation ii. Letter of Undertaking from Existing Assignee that it will issue a fresh letter of disclaimer upon its receipt of the previous letter of disclaimer. iii. Solicitors undertaking to obtain & deliver the fresh Letter of Disclaimer upon issuance by the Master Chargee. j. If Developer’s (&/or Proprietor’s) consent page in the Deed of Assignment in favor of the Bank is not as per the Bank’s standard consent page, the Bank’s prior approval has been obtained (photocopy of Bank’s confirmation to solicitors enclosed); k. To forward original Notice of Assignment in respect of the Deed of Assignment (by way of security) within 14 days from the date of stamping. (if applicable) Version 2.0 Page 11 Solicitor Checklist for Advice to Release (For EB Only) Section 5 – Advice to Release: We hereby certify that the documents have been duly executed by the Borrower / Customer and all Security Parties and the documents prepared by us have complied with all Banks’ requirement and that the interest of the Bank is fully protected. In the event that the legal documentation is not in order and is incomplete and should you as the financier suffer any loss and damage by reason of the security documents not being registered / perfected by reasons attributable to our acts of negligence, error, mistake or omission and / or by reason of the aforesaid security documentation not being in order, ourselves as the solicitors responsible for the preparation of the said legal documentation shall be responsible to make good to you in full such loss and damage. Based on the above we are of the opinion that it is in order and that you may allow the disbursement of the Facility/release the redemption sum in manner as follow – Disburse full loan / facility amount to …..………………………………………………………………………………………………………………………………………………………………… Release the redemption sum of RM ………………………….…. in favor of the Chargee / Assignee namely …………………………………………………………….. which, Account No is ……………………………………………………………………………………………………………………. Subject to the fulfillment of the pre-disbursement conditions of the Bank, it is now in order for your Bank to release the loan / facility sum of RM …………………………………………………………………. due on ……………………………………… Progress payment in favor of the developer, through HDA Account No (if applicable)…………………………………………………………. accordingly to the Architect Certificate & for final disbursement, to release 5% being stakeholder portion namely ……………………………………………………………………………. Release the balance of the loan / facility sum of RM ………………………………… in favor of the Vendor or appointed stakeholder namely …………………..............................................…………………………… pursuant to Section / Clause …………………… of the Sales & Purchase Agreement / Construction Agreement dated ………………………………………………………………………………… Release the legal fees sum RM………………………………………… in favor of the solicitor namely …………………………………………………………………………………. pursuant to Authorization Letter by borrower / customer dated ……………………………………………………………………….. Also release the balance of the loan / facility sum of RM ……………………………………………………………… in favor of the Borrower namely ………………………………………………………………….. by crediting Borrower's / Customer’s account/ issue BCQ/ contra to account no …………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. Thank you. Kindly acknowledge receipt by signing and returning the duplicate copy of this letter. Solicitor’s Signature & Stamp Yours faithfully, for and on behalf of Solicitor’s Name - ……………………………………………………………………….. Advocate & Solicitor Bar Council No. - ………………………… Version 2.0 Page 12