Application for Issuance or Reissuance of Lawyer Practicing Certificate

According to Form TP-LS-01 issued together with Circular 05/2021/TT-BTP regulating the Application for Issuance, Reissuance of Lawyer Practice Certificate, specifically:

SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness ---------------

My name is (written in uppercase): ........................................................... Gender: .............

Date of birth: ....../....../.......... Nationality: ................................................................................

Permanent address: ..............................................................................................................

Current residence: ...................................................................................................................

Phone: ......................................................... Email: ......................................................

Identity card/Citizen ID/Passport No.: ..................................................

Date of issue: ..../....../.......... Place of issue: ....................................................................................

Law practice organization for apprenticeship (in case of passing the lawyer practice apprenticeship examination): .......................................................................................................

Passed the lawyer practice apprenticeship examination in ............. year ....................................

Or exempted from the lawyer practice apprenticeship (state the reason clearly): ..................................................

Request to be issued/reissued a Lawyer Practice Certificate (In case of reissuance, state clearly the number of the previously issued Lawyer Practice Certificate, date of issue, and reason for reissuance).

Personal activity history (state clearly the period, what positions and roles held, from high school graduation to present, job titles, positions held, duration of law practice training and apprenticeship (if any)):

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Rewards, discipline (state clearly forms of reward, discipline from high school graduation to present; in case of discipline, state clearly the reason for discipline and attach the disciplinary decision; if there are no rewards or disciplines, state clearly "none"):

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Criminal liability (state clearly whether or not you have been criminally prosecuted; if prosecuted, state the crime, judgment number, the authority that issued the judgment, and attach the judgment with the document confirming the expungement from the competent authority):

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I certify that I have provided complete and truthful information and am responsible for the contents stated above. I commit to adhere to the principles of the legal profession and fully perform the rights and obligations of a lawyer as prescribed by law.

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^1^ Dossier includes 02 photos 3x4

Sincerely!