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Clients Self-Serve Form

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DEPARTMENT OF JUSTICE - JUSTICE DEPARTMENT COURTS CLIENTS PURPOSES ONLY SELF-SERVE FORM BELOW:

CLIENT PURPOSES ONLY FORM FOR DOJ JUSTICE ELLIOTT KHAN CRIMINAL DEFENCE ATTORNEY LAWYER (JUSTICE DEPARTMENT COURTS)

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CLIENT PURPOSES ONLY FORM FOR DOJ JUSTICE DEFENCE ATTORNEY LAWYER (JUSTICE DEPARTMENT COURTS)

WHICH LAWYER DO YOU REQUEST CLIENT PURPOSES ONLY FORM FOR DOJ JUSTICE DEFENCE ATTORNEY LAWYER (JUSTICE DEPARTMENT COURTS)

DATE

TIME

DATE OF BIRTH

CLIENT FULL NAME

OPT-IN

By clicking, It will mean I agree to share my form responses with

Department of Justice

Justice Department Courts

(Registered and Licensed to)

DOJ Justice Defence Attorney Lawyer,

Brookwater Drive,

Shipley,

BD18 1PY,

And I also agree to share my form responses with

DOJ Justice Defence Attorney Lawyer,

Phone Number: 07496000809

(CLIENT ADDRESS) DOOR/FLAT NUMBER ONLY

STREET NAME

CITY

POSTCODE

(WRITE MESSAGE HERE)

CLIENT OPT-IN

By clicking, I agree to insert pin code 9854 into client validation code box below to share my form responses with and to DOJ Justice Defence Attorney Lawyer to acceptability of my case also to defend my arrest and defend or defence in court proceedings and it will mean I have opt-in, and I also agree.

(CLIENT VALIDATION CODE BOX)

CLIENT MOBILE PHONE NUMBER:

CLIENT EMAIL ADDRESS