United States District Court
Eastern District of New York

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Instructions and Additional Information Update My Previously Entered Information
Personal Information
1.  Petitioner's name.
* First: * Last: Middle:
Generation:
select, if appropriate
Title: ( i.e. Attorney, Esq. )
Date of Birth: * Phone Number:
2.  Petitioner resides at:
Street: * City: * State: * Zip:
3.  Enter Office/Firm name and address
* Office: ( Max. 90 char. )
* Address1: ( Max. 60 char. )
Address2: ( Max. 60 char. )
Address3: ( Max. 60 char. )
* City: * State: * Zip:
Practice
1.  Petitioner was admitted to practice by
( Max. 80 char.) * Department of
the State of New York at
(30 char.) * Term
2.  Petitioner has practiced in various courts of the State of New York, including *
( Max. 120 char. ) 
3.  Petitioner is a member of a good standing of
* the bar of ( Max. 120 char. )
Education
  Petitioner attended
* Law School: * Degree: * Year:
Additional Information
* Barcode: (first and last initial and last 4 digits of your Social Security Number)
* Petitioner's Email:
* Petitioner's Email (confirm):
* Office Telephone Number:
* Fax:
Alternate (Office) Email:
Alternate (Office) Email (confirm):
* Select the location more convenient for you: Brooklyn Central Islip
* Suggested Date of Admission:
Admissions are held in each of the Courthouses according to the following schedule:
   Brooklyn, 718-613-2285,
         - every Friday at 9:30 a.m.
   Central Islip, 631-712-6030,
         - third Wednesday of every month at 2:00 p.m.
Instructions and Additional Information



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