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C.M.K.’YA GÖRE AVUKATLIK HİZMET FORMU

ERZİNCAN BAROSU BAŞKANLIĞI’NA

 

 

İSTEMDE BULUNAN MAKAM    : 

TARİH VE SAAT                              : 

TAYİN EDİLEN AVUKATIN

ADI SOYADI                                   : 

BARO SİCİL NUMARASI                : 

İŞ ADRESİ                                      : 

İŞ TELEFONU                                 : 

EV TELEFONU                                : 

 

YAKALANAN KİŞİ VEYA

SANIĞIN

ADI VE SOYADI                              : 

İŞ ADRESİ                                       : 

EV ADRESİ                                      :

İŞ TELEFONU                                  :                                              EV TEL.          :

 

NÜFUS KAYIT SURETİ

BABA ADI                                         :                                              ANA ADI       : 

DOĞUM YERİ                                   :                                              DOĞUM TR.  : 

İLİ                                                      :                                              İLÇESİ            : 

MAHALLE/KÖY                                  :                                               KÜTÜK NO.  :

SAYFA  NO                                        :                                              PAS. NO.       :

 VARSA VELİ YA DA KANUNİ

TEMSİLCİSİNİN

ADI VE SOYADI                                :

İŞ ADRESİ                                         :

EV ADRESİ                                       :

İŞ TELEFONU                                  :                                              EV TEL.          : 

 

HUKUKİ YARDIMIN

KONUSU                                          : 

YAKALAMA TARİH VE SAATİ      : 

TARİH VE NUMARASI                    : 

SONUCU                                          : 

 

GİDERLER

AVUKATIN YAPTIĞI                      : 

İŞ SAHİBİNİN YAPTIĞI                  :

RÜCU İÇİN DÜŞÜNCELER           :      EDİLEBİLİR (  )                EDİLEMEZ  (  )

 

EKİ                                                   :

 

                                                                                             

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