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Applications & Information » House Counsel Application » In-house Counsel Application


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Full Legal Name
John Smith
Social Security Number
***-**-****
Mailing Address
3855 Lake Clearwater Place
City
Sarasota
State
Florida
Zip
90210
Primary Phone Number
(812) 111-5100
Cell Phone Number
(812) 111-5101
NCBE Number (8 digits)
We will not accept applications without an NCBE number.
Go to www.ncbex.org/ncbe-number to create an NCBE account and request an NCBE Number..
N10000000
Date of Birth
January 10, 1961
Place of Birth
Carlisle
Email Address
sample@email.com
Gender
Have you ever been known by any other name, nickname or alias?
Yes
No