IN THE SUPREME COURT OF THE STATE OF DELAWARE
APPLICATION FOR A CERTIFICATE OF LIMITED PRACTICE PURSUANT TO RULE 55.3
I, [Full Name] do hereby apply to the Supreme Court of the State of Delaware for a Certificate of Limited Practice Pursuant to Supreme Court Rule 55.3.
I certify that I am employed exclusively as an Assistant United States Attorney for the District of Delaware.
I certify that I am a member in good standing of the following bars: [List all bar memberships and membership identification numbers, if any], and that I am an active member in good standing of the Bar of the State/Country of [List State/Country/Jurisdiction].
I certify that I have read, and am familiar with, the Delaware Lawyers' Rules of Professional Conduct.
Dated: _______
_____________
APPLICANT SIGNATURE
_____________
ADDRESS
_____________
CITY/STATE/ZIP
_____________
PHONE/EMAIL
Sworn to and subscribed
Before me this _____
Day of ___________, 20
___________________
Notary Public
Del. R. Sup. Ct. Form 1