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Case 5:21-cv-09773-EJD Document 15 Filed 01/04/22 Page 1 of 2
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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
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`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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`28
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`Northern District of California
`United States District Court
`
`Re: Dkt. No. 14
`
`

`

`Case 5:21-cv-09773-EJD Document 15 Filed 01/04/22 Page 2 of 2
`
`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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`28
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`Northern District of California
`United States District Court
`
`January 4, 2022
`
`Virginia K. DeMarchi
`
`

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