MEMBERS RECORDS - UPDATE FORM

Inn Details

Membership No.

Date of Admission-new

Call Date

Name & Personal Details

Title

If other title, please detail:

Forenames

Surname

Qualifications

Date of Birth

Marital Status

Spouse's name (if applicable)

Chambers/Professional Address

Chambers Name

Head of Chambers

Chambers Address

Post Code

Telephone

Fax

E-mail

dx number

Home address

Address

Post Code

Telephone

Fax

E-mail

Mobile No.

Term address (students only)

Address

Post Code

Telephone

Fax

E-mail

Mobile No.

Current Professional Information (tick one)

Student    Current Pupil   

Practising Barrister    Employed Barrister    Non-Practising Barrister    Silk   

Assistant Recorder    Recorder   

Circuit Judge   High Court Judge    Court of Appeal   

Withdrawn    Retired   

Circuit (tick one)

Midland & Oxford        Northern       North Eastern      

South Eastern       Western       Wales & Chester

For further information, please the Records Officer at jhodgson@innertemple.org.uk or call 020 7797 8206.