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Title
Name
Date of Birth
Inn
Date of Call
Private Address
Chambers Address
Mobile
Email*
Proposer (Silk)
Seconder (Junior)
Pupil Supervisor (if not Seconder)
Date of Election
Date of Mess already attended on Circuit
Email 2*:
* required fields
I apply for membership of the Northern Circuit. I have been informed that the current subscriptions payable are:
Such subscriptions are payable by direct debit twice yearly (June and December) or via your chambers.