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Case 5:21-cv-09773-VKD Document 14 Filed 01/03/22 Page 1 of 4
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`UNITED STATES DISTRICT COURT
`
`NORTHERN DISTRICT OF CALIFORNIA
`
`Plaintiff(s),
`
`v.
`
`Defendant(s).
`
`,
`
`,
`
`Case No.
`
`APPLICATION FOR ADMISSION OF
`ATTORNEY PRO HAC VICE
`(CIVIL LOCAL RULE 11-3)
`
`I,
`
`, an active member in good standing of the bar of
`
`, hereby respectfully apply for admission to practice pro hac
`
`vice in the Northern District of California representing:
`
`above-entitled action. My local co-counsel in this case is
`
`in the
`
`, an
`
`attorney who is a member of the bar of this Court in good standing and who maintains an office
`
`within the State of California. Local co-
`
`1155 Avenue of the Americas, 22nd Floor
`New York, NY 10112-0015
`MY ADDRESS OF RECORD
`
`LOCAL CO-COUNSEL S ADDRESS OF RECORD
`
`MY TELEPHONE # OF RECORD
`
`LOCAL CO-COUNSEL S TELEPHONE # OF RECORD
`
`MY EMAIL ADDRESS OF RECORD
`
`LOCAL CO-COUNSEL S EMAIL ADDRESS OF RECORD
`
`I am an active member in good standing of a United States Court or of the highest court of
`
`another State or the District of Columbia, as indicated above; my bar number is:
`
`.
`
`A true and correct copy of a certificate of good standing or equivalent official document
`
`from said bar is attached to this application.
`
`I have been granted pro hac vice admission by the Court _______ times in the 12 months
`
`preceding this application.
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`1 2 3 4 5 6 7 8 9
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`10
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`28
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`Northern District of California
`United States District Court
`
`

`

`Case 5:21-cv-09773-VKD Document 14 Filed 01/03/22 Page 2 of 4
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`I agree to familiarize myself with, and abide by, the Local Rules of this Court, especially
`
`the Standards of Professional Conduct for attorneys and the Alternative Dispute Resolution Local
`
`Rules. I declare under penalty of perjury that the foregoing is true and correct.
`
`Dated:
`
`APPLICANT
`
`ORDER GRANTING APPLICATION
`
`FOR ADMISSION OF ATTORNEY PRO HAC VICE
`
`IT IS HEREBY ORDERED THAT the application of
`
`is
`
`granted, subject to the terms and conditions of Civil L.R. 11-3. All papers filed by the attorney
`
`must indicate appearance pro hac vice. Service of papers upon, and communication with, local co-
`
`counsel designated in the application will constitute notice to the party.
`
`Dated:
`
`UNITED STATES DISTRICT/MAGISTRATE JUDGE
`
`Updated 11/2021
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`2
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`1 2 3 4 5 6 7 8 9
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`Northern District of California
`United States District Court
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`

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`Case 5:21-cv-09773-VKD Document 14 Filed 01/03/22 Page 3 of 4
`
`Appellate Division of the Supreme Court
`of the State of New York
`Third Judicial Department
`
`
`I, Robert D. Mayberger, Clerk of the Appellate Division of
`the Supreme Court of the State of New York, Third Judicial
`Department, do hereby certify that
`
`Thomas Vincent Matthew
`
`was duly licensed and admitted to practice as an Attorney and
`Counselor at Law in all the courts of this State on March 11, 2014,
`has duly taken and subscribed the oath of office prescribed by law,
`has been enrolled in the Roll of Attorneys and Counselors at Law
`on file in this office, is duly registered with the Administration
`Office of the Courts, and according to the records of this Court is
`currently in good standing as an Attorney and Counselor-at-Law.
`
`
`
`
`
`CertID-00046668
`
`
`
`
`In Witness Whereof, I have hereunto set
`my hand in the City of Albany on
`December 30, 2021.
`
`
`
`
`
`
`
`Clerk of the Court
`
`

`

`Case 5:21-cv-09773-VKD Document 14 Filed 01/03/22 Page 4 of 4
`
`
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`
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`
`
`Robert D. Mayberger
`Clerk of the Court
`
`State of New York
`Supreme Court, Appellate Division
`Third Judicial Department
`Admissions Office
`P.O. Box 7350, Capitol Station
`Albany, NY 12224-0350
`
`(518) 471-4778
`fax (518) 471-4749
`http://www.nycourts.gov/ad3/admissions
`
`
`
`
`
`
`
`
`
`
`Timothy P. O'Keefe
`Acting Director of Attorney
`Admissions
`
`
`
`
`To Whom It May Concern
`
`
`
`An attorney admitted to practice by this Court may request a certificate of good
`
`standing, which is the only official document this Court issues certifying to an
`attorney's admission and good standing.
`
`
`
`An attorney's registration status, date of admission and disciplinary history may
`
`be viewed through the attorney search feature on the website of the Unified Court
`System.
`
`
`
`
`
`
`
`New York State does not register attorneys as active or inactive.
`
`An attorney may request a disciplinary history letter from the Attorney
`
`Grievance Committee of the Third Judicial Department.
`
`
`
`Bar examination history is available from the New York State Board of Law
`
`Examiners.
`
`
`
`
`
`
`
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`
`
`
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`
`
`Instructions, forms and links are available on this Court's website.
`
`
`
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`
`
`
`
`
`
`
`
`
`
`
`Robert D. Mayberger
`Clerk of the Court
`
`Revised October 2020
`
`

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