the law society of the australian capital territory
third floor  11 london circuit canberra  act  2601
gpo box 1562	  canberra  act  2601  dx 5623 canberra
telephone 02 6247 5700  facsimile  02 6247 3754
mail@actlawsociety.asn.au  www.actlawsociety.asn.au	  

Application for issue of a

Restricted Practising Certificate (G1)

for the Financial Year ending yyyy         

Please tick the box indicating whether you are in category A, B or C.

□ A:  Application for the RENEWAL of an ACT Restricted Practising Certificate 

If you currently hold an ACT restricted practising certificate or have held an ACT restricted practising certificate within the last 5 years, and you would like to hold a restricted practising certificate entitling you to practise as a government or in-house lawyer for the year ended
30 June yyyy, complete Parts 1 and 2.

□ B:  Application for a FIRST ACT Restricted Practising Certificate

If you have not previously held an ACT restricted practising certificate and would like to hold a restricted practising certificate entitling you to practise as a government or in-house lawyer for the year ending 30 June yyyy, complete Parts 1 and 3.

□ C:  Application for an ACT Restricted Practising Certificate if your previous ACT Restricted
 Practising Certificate EXPIRED 5 years ago or longer.

If you held an ACT restricted practising certificate that expired 5 years ago or longer and you would like to hold a restricted practising certificate entitling you to practise as a government or in-house lawyer for the year ending 30 June yyyy, complete Parts 1 and 3.

Note:  unless otherwise specified, section numbers refer to the Legal Profession Act 2006 and Regulations under that Act.

PART 1 – ALL APPLICANTS TO COMPLETE

	

Full name (please print)

Title

1. I, 

of (residential address):

Suburb							State			Postcode 

Phone No: (BH)                             (AH)                             (Mobile) 

Email: (Work)                                                                     

Email: (Home) 

Postal address (if differs from residential/office address): 

apply for the issue of a Restricted Practising Certificate under the Legal Profession Act 2006 authorising me to engage in legal practice for the year ending 30 June yyyy.

2.	I am admitted as an Australian lawyer (s n).

3.	I understand that a restricted practising certificate will not entitle me to practise as a principal
	(s n).

4.	If I am successful in this application, I will not hold a practising certificate in another State or Territory from the time I am granted this certificate until this certificate expires or is surrendered (s n).

5.	I practise / will practise as an employee of: 

The physical address(es) at which I practise / will practise principally is / are 

The postal address (if different) is  …………………………………………………………

………………………………………………………                    DX                                           

6.	I understand that it is a condition of this practising certificate that I must notify the Law Society as
soon as is reasonably practicable every time my practice details change (s n).

7. 	I understand that it is a condition of this practising certificate that I will not, at any time during the year ending 30 June yyyy, receive or hold trust money or controlled money (s n).  

STATUTORY CONDITION REGARDING INSURANCE AND PRO BONO WORK

8.	I am or will be:

	(a) a government lawyer engaged in government work;

	OR

	(b) an in-house lawyer providing in-house legal services for a corporation that is not an incorporated legal practice.  

	I do not intend to and will not engage in legal practice otherwise than: 
	(i)	as a government / in-house lawyer engaged in government / in-house work;
	(ii)	for the Law Society’s Legal Advice Bureau;
	(iii)	for any “complying community legal centre” as defined in s n.
	
	It is a condition of this practising certificate under s n that I practise only in the capacities stated at (i) to (iii).

OTHER NOTIFIABLE INFORMATION

9.	I have read the definition in the Dictionary to the Act of “serious offence”. I understand that I must notify the Law Society in writing within 7 days if I am charged with a “serious offence” or if I am convicted of any offence that would require disclosure under the admission rules in relation to an application for admission to the legal profession under the Act. (s n)

10.	I have read the definition in the Dictionary to the Act of “show-cause event”. I understand that I must attach to this application a written statement about any “show-cause events” that have occurred in relation to me since my admission to the legal profession and that have not been previously notified to the Law Society. The written statement must explain why, despite the show-cause event or events, I consider myself to be a fit and proper person to hold a practising certificate. (s n)

11.	I understand that the Law Society cannot grant me a practising certificate unless satisfied that I 
	am a ‘fit and proper person’ to hold the certificate (s n).  Sections n contain
	criteria that are relevant to whether a person is a ‘fit and proper person’. 
	(a)  This application form contains all relevant information as to whether I am a ‘fit and proper
	person’;
	
	OR

	(b)  I have attached a statement containing all additional relevant information.

PART 2 – RENEWAL APPLICANTS ONLY TO COMPLETE

12.	I currently hold an ACT restricted practising certificate authorising me to engage in legal practice

		as a government or in-house lawyer issued by the ACT Law Society                 (applicant to initial).

PART 3 – PLEASE COMPLETE IF THIS IS YOUR FIRST ACT PRACTISING CERTIFICATE
                 OR IF YOUR PREVIOUS ACT PRACTISING CERTIFICATE EXPIRED FIVE
                 YEARS AGO OR LONGER

	

Insert category

13. 	(a)	I currently hold a                                             practising certificate issued by

		                                                                Unless issued by ACT Law Society, you must 
		attach a copy; 

	OR

(b)  I do not currently hold a practising certificate.  I was originally admitted as a                           

	of the Supreme Court of                                                                        on                              ,

Roll No:                              (Please attach a copy of your Admission Certificate)

14. 	I previously held an ACT practising certificate from                             until                             
	(Please only complete if you have previously held an ACT practicing certificate).

Applicant’s Signature:  …………………………………………………	Dated:  ……………………………