C.M.K.’NA GÖRE AVUKATLIK HİZMET FORMU

 ARDAHAN  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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