Lawyers and Conveyancers Act (Lawyers: Senior Counsel and Queen's Counsel) Regulations 2008 (SR 2008/194)

Regulation by clause

Schedule 
Form

r 6(2)

Form
Application for appointment as Senior Counsel

Section 119, Lawyers and Conveyancers Act 2006

Applicant details

Name:

Address:

Date of birth:

Legal education

Legal education:

Year of graduation:

Legal practice

Date and place of admission as a barrister and solicitor of the High Court of New Zealand:

Areas of practice:

Nature of current practice: [barrister sole/partnership/incorporated firm]

Criteria for appointment

Attach an explanation of how you meet the criteria for appointment set out in the guidelines issued by the Chief Justice and Attorney-General.

Details that may affect suitability for appointment

Criminal convictions: Yes/No

If yes, provide details:

Professional finding of unsatisfactory conduct or misconduct: Yes/No

If yes, provide details:

New Zealand Law Society intervention in practice: Yes/No

If yes, provide details:

Costs orders made by a court against the candidate personally: Yes/No

If yes, provide details:

Bankruptcy proceedings: Yes/No

If yes, provide details:

Other information that may be relevant to appointment:
Referees

Name up to 4 referees.

Referee 1: [name and contact details]
Referee 2: [name and contact details]
Referee 3: [name and contact details]
Referee 4: [name and contact details]

Date:

Signature of applicant: