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`Case 6:20-cv-00693-ADA Document 13 Filed 08/03/20 Page 2 of 3
`Case 6:20-cv-00693-ADA Document13 Filed 08/03/20 Page 2 of 3
`
`Applicant is presently a member in goodstanding ofthe bars of the courts listed above,
`4.
` ÿ ÿ
`
`except as provided below (list any court named in the preceding paragraph before which
` ÿ ÿ
`
`Applicant is no longer admitted to practice):
` ÿ ÿÿ
`
`N/A
`012
`
` ÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿ ÿ ÿ
`
`have [ have not previously applied to Appear Pro Hac Vicein thisdistrict
`I
`court in Case[s]:
`
`Number: 1:14-cev-970-SS
`on the 29 day of October
`2014
`
`=;35
`>7?@ABCÿ
`343567869:;6<<
`=9
`&
`
`Number:
`onthe _— dayof
`,
`&
`
`,
`Number:
`onthe _— dayof
`&
`
`Applicant has never been subject to grievance proceedings or involuntary removal
`' ÿ ÿ
`
`proceedings while a memberofthe bar of any state or federal court, except as
`
`
`provided:
`
`
`N/A
`012
`
`Applicant has not been charged, arrested, or convicted of a criminal offense or offenses,
`) ÿ ÿ ÿ ÿ
`
`except as provided below (omit minortraffic offenses):
` ÿ ÿ
`
`N/A
`012
`
`Applicant has read and is familiar with the Local Rules of the Western District of Texas
`* ÿ ÿ
`
`and will comply with the standards of practice set out therein.
`ÿÿ ÿ ÿ ÿ
`
`
`
`Case 6:20-cv-00693-ADA Document 13 Filed 08/03/20 Page 3 of 3
`
`3rd
`
`August
`
`
`
`2020
`
`
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