Government Legal Service Northern Ireland
Civil Panels
D PANEL: Application Form 2017

Please read the information sheet provided with this form before completing this form.

The form should be completed in typescript, not smaller than Arial 11pt.

The completed form must be submitted by email onlyno later than 12:00 hours on 9thJune 2017 to

Personal Information

Surname: / Title:
Forenames:
Any Previous Names: / DOB:
Period in Practice: Years Months

Communications

Bar Library Direct Dial Telephone number:
E-mail Address:

Your Professional Qualifications

Dates of Bar Examinations:
Date of Call to the Northern Ireland Bar:
Dates of Pupillage : (to include any period of restricted practice)

1.Academic and professional qualifications

State the qualifications which entitleyou to practice as a barrister including classification, year and institution as follows:-
(a)under-graduate qualification(s);
(b)post-graduate qualification(s).
(c)professional qualification(s);
If relevant, please indicate whether you obtained a pass, commendation or distinction. (250 words max)
2. RESEARCH
Using examples from your practice, pupillage or legal education, give evidence of your competence in legal research(500 words max).
3. public law
Please outline in not more than 500 words, your understanding of public law issues from the point of view of a barrister advising or representing the Government in contrast to a private sector client.
4. TEAM WORKING
Please outline your interpersonal skills and your ability to work as part of a team (maximum 500 words).
Declaration and Referees
I declare that all the information I have given on this form is to the best of my knowledge and belief true and complete. I understand that if it is subsequently discovered that any statement is false or misleading, or that I have withheld relevant information, my application may be disqualified or, if I have already been appointed, I may be removed from the Panel.
Signature: / Date://
My two referees are (names, addresses & telephone numbers):
(1)
(2)

1

GOVERNMENT LEGAL SERVICE NORTHERN IRELAND

EQUAL OPPORTUNITIES MONITORING FORM

For Monitoring Purposes Only

Individual names will not be disclosed

The GLSNI is required to monitor the make-up of its Panels (and of applications thereto) from an equal opportunities standpoint. We would ask that you complete and return this questionnaire. Failure to do so will lead to your application not being accepted or processed. The information you provide will be treated in total confidence and will have no effect on your appointment or reappointment. It will be used only to compile anonymous statistics about the panels (we ask you to provide your name on the questionnaire so that we can add or remove information as people join or leave the panels).

NAME
POST
GENDER / Male / Female
DATE OF BIRTH / Day / Month / Year
ETHNIC BACKGROUND
To which of these ethnic groups do you belong? / White / Indian / Pakistani
Bangladeshi / Black African / Chinese
Irish Traveller / Black Caribbean / Other (please specify)

COMMUNITY BACKGROUND

To help in the monitoring of community background within the public appointments process, please give details by ticking the appropriate box below:

My background is that of the Protestant community

My background is that of the Roman Catholic community

I do not have a Protestant or Roman Catholic community

Background

DISABILITY

The Disability Discrimination Act 1995 defines disability as a physical or mental impairment which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities.

In these terms, do you consider yourself to be disabled?YES NO

(tick as appropriate).

Thank you for your co-operation