PRO HAC VICE APPLICATION & ORDER October 2012

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UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

 

 Plaintiff(s), 

v.

 

 Defendant(s).

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Case No: _______________

APPLICATION FOR

ADMISSION OF ATTORNEY

PRO HAC VICE

(CIVIL LOCAL RULE 11-3) 

I, , an active member in good standing of the bar of 

 , hereby respectfully apply for admission to practice pro hac vice in the 

Northern District of California representing: in the 

above-entitled action. My local co-counsel in this case is __________________________________, an 

attorney who is a member of the bar of this Court in good standing and who maintains an office 

within the State of California. 

MY ADDRESS OF RECORD: LOCAL CO-COUNSEL’S ADDRESS OF RECORD:

MY TELEPHONE # OF RECORD: LOCAL CO-COUNSEL’S TELEPHONE # OF RECORD:

MY EMAIL ADDRESS OF RECORD: LOCAL CO-COUNSEL’S EMAIL ADDRESS OF RECORD:

I am an active member in good standing of a United States Court or of the highest court of 

another State or the District of Columbia, as indicated above; my bar number is: . 

A true and correct copy of a certificate of good standing or equivalent official document from said 

bar is attached to this application.

I agree to familiarize myself with, and abide by, the Local Rules of this Court, especially the 

Standards of Professional Conduct for attorneys and the Alternative Dispute Resolution Local Rules. 

I declare under penalty of perjury that the foregoing is true and correct. 

Dated: 

APPLICANT

ORDER GRANTING APPLICATION

FOR ADMISSION OF ATTORNEY PRO HAC VICE

IT IS HEREBY ORDERED THAT the application of is granted, 

subject to the terms and conditions of Civil L.R. 11-3. All papers filed by the attorney must indicate 

appearance pro hac vice. Service of papers upon, and communication with, local co-counsel 

designated in the application will constitute notice to the party.

Dated: 

UNITED STATES DISTRICT/MAGISTRATE JUDGE

Case 5:17-cv-00220-LHK Document 22 Filed 01/25/17 Page 1 of 2
Appellate Bhitefon of iff* ^upttmt Court 

of iff* &tati> of -New ^ork 

&gcattit 3Juomal iteoartmsnt 

J, Aprilanne Agostmo, €lerk of tlte Appellate SHuision of tlje 

Supreme Court of tlte ^tate of Sfexu |Jork, Second judicial department, 

do Ijereby certify ttjat (toy Andrew JBornatem 

mas duly licensed and admitted to practice as an Attorney and Counselor 

-at-BIam In all tlje courts of ttie ^tate, according to tlje lams of ttie ^tate 

and tlje court rules and orders, on tlje 4 iff day of Sfauember 1990, 

Ijas duly taken and subscribed tlje oatlj of office prescribed by lam, Ijas 

been enrolled in tlje iRoll of Attorneys and Counselors-at-iEaxu on file in 

my office, Ijas duly registered mitlj tlje administratiue office of tlje 

courts, and according to tbe records of ttjis court is in good standing as 

an Attorney and (£omtselor-at-3!Jaxu. 

Hn Uttneaa Wljereof, 3 Ijaue fyerettnto set 

my Ijann ano affixed tlje sea l nf sato 

Appellate Htutstmt rnt January 25, 2017. 

y+ffv-ajfa'*^ 

Otterh of tlje Ofaitrt 

Case 5:17-cv-00220-LHK Document 22 Filed 01/25/17 Page 2 of 2