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 FORM A

LEGAL PROFESSION ACT 1976

ADVOCATES AND SOLICITORS' COMPENSATION FUND RULES 1978

NOTICE OF LOSS

To:
The Secretary,
Bar Council,
Malaysian Bar,
Lot 5.55, 5th Floor,
Wisma Central,
Jalan Ampang,
Kuala Lumpur.

I, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(Full name).

of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(Address).

hereby give notice that I have incurred a loss of approximately Ringgit $ . . . . . . . . . . . . . . . . . which I believe to be due to the dishonesty of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..

(Full name of advocate and solicitor or firm of advocates and solicitors).

or his/their* clerk(s). The details relating thereto are set out in the Schedule of Particulars attached -

*(a) to the application which accompanied this Notice;

*(b) to this Notice and I also give Notice that application for a grant may be made in due course.

Dated this . . . . . . . . . day of . . . . . . . . . . . 19 . . . . . .

__________________________________________
*Delete as necessary.

To:

The Secretary,
Bar Council,
Malaysian Bar,
Lot 5.55, 5th Floor,
Wisma Central,
Jalan Ampang,
Kuala Lumpur.

I, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(Full name).
 

of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(Address).

hereby apply to the Bar Council of the Malaysian Bar that in the exercise of the absolute discretion conferred upon the Bar Council by the Legal Profession Act, the Bar Council makes to me a grant of Ringgit $ . . . . . . . . . . . . or any sum which the Bar Council may think proper out of the Compensation Fund for the purpose of relieving or mitigating a loss which I believe to have incurred by reason of the dishonesty of .................................................................................................

(Full name of advocate and solicitor or firm of advocates and solicitors).

or his/their* clerk(s). A Notice of Loss was forwarded to the Bar Council on .....................................................................................................

(Date Notice Despatched).

and full details relative to this claim are set out in the Schedule of Particulars attached to this application.

Dated this . . . . . . . . . day of . . . . . . . . . . . . . 19 . . . . .

______________________________________________
*Delete as necessary.

This Schedule should contain the following information which should be given concisely numbered paragraph:

1. The circumstances in which and the date or dates on which the money or other property, in respect of which the loss incurred came into the possession of the solicitor or his clerk or servants.

2. Full particulars of the money or property.

3. The facts relied upon in support of the allegation of dishonesty or failure to account.

4. The circumstances in and the date on which the loss first came to the knowledge of the applicant.

5. Particulars of any relevant documents which can be produced in support of this application.

6. Whether it is known that any other application is likely to be made in respect of the facts set out in this schedule.

7. Whether any civil, criminal or disciplinary proceedings have or will be taken in respect of the facts set out in this application. If proceedings have already been taken give the result.

8. The name and address of any solicitor instructed on behalf of the applicant.

9. Any other relevant particulars.

Made the 2nd October 1978.
[BC / LPA; PN. (PU²) 314.]