<%@ Page Language="C#" AutoEventWireup="true" CodeFile="Register_Advocates.aspx.cs" Inherits="Register_Advocates" %> CITIZEN FORCE FOUNDATION FOR CITIZENS

ADVOCATE Registration

 
<%----%> <%----%> <%----%> <%----%>
Advocate Registration
Your Name, Qualification, Specialization, Contact Address & Number, details of most frequently Attending Court and Availability Times etc.,
will be displayed in "Services->Advocates In My Area" by default.
In case, you do not wish to display the same BUT requires only personal protection under Citizen Category, please UNCHECK the box here.
YOU CAN EDIT FROM TIME TO TIME THE INFORMATION PROVIDED HERE IN CERTAIN FIELDS AT ANY TIME THROUGH "LOGIN"
 
*PIN CODE :
Contact / Office / Residence Address : Residence Office Residence-Cum-Office
Pincode*
 :
State
 :
<%----%>
District
 :
<%----%>
Mandal / Taluk*
:
Post Office Name*
 :
City / Town / Village* :
Land Mark To Reach You Easily :
Locality / Area :
Street Name :
Ward / Division Number :
House Number :
Appartment Name & Number :
Salutation* :
Gender :
Advocate's Name* :
Bar Council Reg. No. :
Date of Registration : (DD-MM-YYYY)
Qualification :
Specialization :
No.of Years in Practice :
Regularly Attending : Supreme Court High Court District Court Sub-Ordinate Court Magistrate Court
Place of Court : (OPTIONAL: Specify the Place of Court in which you mostly available)
Contact Address :
Land Mark :
Advocate's Contact Number
[In case client want to contact you]		 : Land line:  -   Mobile: +91-
Email address :
Confirm Email address : <%----%>
Availability :
Days Timings(Eg: 24 Hours, 9AM-12NOON, 4PM-9PM ETC...)
*Your Personal Mobile number (This will be your Login ID and to receive/retrieve forgot password) : +91-(Password will be sent to this mobile)
*Conform Mobile number : +91-
Do you wish to a Primary Volunteer? :
Yes No
Do you wish to disclose Your Identity as a Primary Volunteer? :
Yes No
BLOOD GROUP* :

Emergency Contact Details: [In case you are in emergency, to whom we shall inform?]
 : <%----%>
Contact Person : RelationShip : Phone No :
Contact Person : RelationShip To : Phone No :
Your Physical Status
 :
Upload Photo :
Are you interested in BLOOD DONATION in case of emergency to anyone? [Please consider to say YES: Humanity is Godliness]
 :
Privacy statement:
 :

Date & Time
 :
Security Code :
Enter Security Code* :
Form Filled By* :
<%--


--%>