EDTX PHVAPP (04-2024) 

UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF TEXAS

APPLICATION TO APPEAR PRO HAC VICE

1. This application is being made for the following: Case # _____________________________

Style/Parties: ________________________________________________________________

2. Applicant is representing the following party(ies): 

3. Applicant was admitted to practice in _____________(state) on ____________(date).

4. Applicant is in good standing and is otherwise eligible to practice law before this court.

5. Applicant is not currently suspended or disbarred in any court.

6. Applicant has has not (choose one) had an application for admission to practice before

another court denied. If so, give complete information on a separate page.

7. Applicant has has not (choose one) ever had the privilege to practice before another

court suspended. If so, give complete information on a separate page.

8. Applicant has has not (choose one) been disciplined by a court or Bar Association or

committee thereof that would reflect unfavorably upon applicant’s conduct, competency, or

fitness as a member of the Bar. If so, give complete information on a separate page.

9. Describe in detail on a separate page any charges, arrests, or convictions for criminal

offense(s) filed against you. Omit minor traffic offenses and misdemeanor offenses committed

prior to age 18. (See Page 3)

10. Applicant has no pending grievances or criminal charges.

11. Applicant has been admitted to practice in the following courts:

12. Applicant has read and will comply with the Local Rules of the Eastern District of Texas,

including Rule AT-3, the “Standards of Practice to be Observed by Attorneys.”

13. Applicant understands that, if approved, the admission is limited to appearing in the case

specified above only.

Application Oath:

I, __ ______________________________ do solemnly swear (or affirm) that the 

above information is true; that I will discharge the duties of attorney and counselor of this 

court faithfully; that I will demean myself uprightly under the law and the highest ethics of 

our profession; and that I will support and defend the Constitution of the United States. 

Date: Signature:

Application Continued on Page 2

2:23-cv-00379 Headwater Research LLC v. T-Mobile US, Inc., T-Mobile USA, Inc., and Sprint Corp., T-Mobile US, Inc., T-Mobile USA, Inc., and Sprint Corp., New York 09/24/2020 11/21/2024

Eliyahu Balsam

New York Courts, U.S. Court of Appeals for the Federal Circuit 

/s/ Eli Balsam

By Nakisha Love at 4:43 pm, Nov 21, 2024

Case 2:23-cv-00379-JRG-RSP Document 117 Filed 12/02/24 Page 1 of 2 PageID #:

7840
EDTX PHVAPP (04-2024) 

UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF TEXAS

APPLICATION TO APPEAR PRO HAC VICE

Full Name:

State Bar No.:

Address:

Phone:

Fax:

Email:

This application has been approved for the court on:

David A. O’Toole, Clerk 

U.S. District Court, Eastern District of Texas 

By

Deputy Clerk 

Application Instructions

1. You must obtain approval of your application before you docket it to the case. To request

review, email the completed application to phv@txed.uscourts.gov.

2. Once approved, docket the version that bears the deputy clerk’s approval stamp using the

Notice of Attorney Appearance – Pro Hac Vice event (the docket event will collect the $100

fee). NOTE: If you do not already have e-filing privileges in this district, after you obtain

approval of your pro hac vice application as required in Step 1 above, go to Pacer.gov, log into

Manage My Account and select the Maintenance tab. Then choose Attorney Admissions/EFile Registration, select our court, and apply/register for Pro Hac Vice. E-filing requests

received prior to approval of the pro hac vice application form will be rejected.

Email Application

Eliyahu Balsam 5820493 200 Park Avenue, New York, NY 10166-0193 +1 212-351-5382 +1 212.351.5382 EBalsam@gibsondunn.com

11/21/2024

Case 2:23-cv-00379-JRG-RSP Document 117 Filed 12/02/24 Page 2 of 2 PageID #:

7841