Application of Admission to the Bar

• Legal Form Number: 21
• Date: 01 July 2020
• Court: U.S. Court of Appeals — Federal Circuit
• Section: United States Court of Appeals for the Federal Circuit

FORM 21. Application for Admission to the BarForm 21(p. 1)

July 2020

UNITED STATES COURT OF APPEALS

FOR THE FEDERAL CIRCUIT

APPLICATION FOR ADMISSION TO THE BAR

Instructions:Please review Fed. R. of App. P. 46 and Fed. Cir. R. 46 before

submitting this application. The applicant must sign the oath of admission with a

handwritten signature; all other signatures must comply with Fed. Cir. R. 25(g)(2).

Attach additional pagesas needed.

Name:

Mailing Address:

Email:

I amhereby applyingfor admission to the bar of the United States Court of Appeals

for the Federal Circuit. My personal statement showing my eligibility is as follows:

I am admitted to practice before the highest court of these states:

State

Date of Admission

Bar Number

Additional pages attached.

I am admitted to practice before these federal courts:

Federal Court

Date of Admission

Bar Number

Additional pages attached.

I certify that I am not presently subject to discipline by another court. I will inform

this court within 30 days of any disciplinary action taken against me by any court,

and I will furnish the court with a copy of any disciplinaryorder.

Signature: