Growing Firm Application Form

Applications can be e-mailed to ; faxed to (012) 362 0969 or posted/couriered to the addresses below.Closing date for applications: 30 September 2016
LSSA postal address
Barbara Whittle/Nomfundo Manyathi-Jele
Law Society of South Africa
P O Box 36626Menlo Park, Pretoria, 0102
Or Docex 82, Pretoria / Forms sent by courier
Barbara Whittle/Nomfundo Manyathi-Jele
Law Society of South Africa (LSSA)
304 Brooks Street, Menlo Park
Pretoria, 0181

FIRM SYNERGY LINK APPLICATION FORM

Instructions on how to type on this editable form (Please complete the form in pen if you prefer).
  1. Save the form on your computer and then type your details directly onto the form where you see.
  2. To select a specific , please click on it to look like this .
  3. After completing the form, please save again and print. Sign the form where indicated on page 2, scan and send it to the rnatively post/deliver it to the address found above.
  4. All dates must be in the format dd/mm/yyyy.

Please note that it is important to complete the form in full.

1.Law firm’s details

Name of firm / Year established
Postal address / Code:
Physical address / Code:
Email address / Tel: ()
Type of Firm / Sole Practitioner Partnership Incorporated Practice

2.Attorneys’ details

Surnames plus full names of all practising attorneys at your firm. / Date of birth (dd/mm/yyyy) / Sex
1. / MF
2. / MF
3. / MF
4. / MF
5. / MF
  1. Transfer of skills

Bisset Boehmke McBlain is offering to transfer skills in the following areas. Please mark which area(s) most interest your firm.

High Court litigation

Property and conveyancing

Lower court litigation

Deceased estates
Commercial and corporate law
Practice management

LSSA/Bisset Boehmke McBlain Link Application form (continued)

4.Explain why the area(s) is/are of interest to your firm and report on any work done in this area previously.

Please note - when you reach the end of the line, it will automatically carry on the next line.

5.Has any attorney at your firm ever worked at Bisset Boehmke McBlain?

? Yes No

If Yes, please provide the partner’s name: .

6.Declaration

Should my/our firm be selected to participate in the LSSA Synergy Link projected, I/we agree to

  1. enter into an agreement with Bisset Boehmke McBlain regarding time, location, the method of skills transfer as well as expectations from both parties; and
  2. provide a signed progress report and the necessary portfolio of evidence to the LSSA and Bisset Boehmke McBlain during and after completion of the transfer programme

7Signatures

Attorney 1: ______Attorney 2: ______

Attorney 3: ______Attorney 4: ______

Attorney 5: ______

Date:

Attachments

Please attach any information/documentation which you feel is pertinent to your firm’s application.

Closing date for applications:30 September 2016

Synergy Link: Growing Firm Application BBB September 2016 Page 1 of 2