Private Legal Retainer Form

A. KINDLY PROVIDE ACCURATE ANSWERS (ONLY):

B. SPOUSE DETAILS:

Any Children?

C. DETAILS OF NEXT OF KIN:

D. TYPE OF DESIRED PRIVATE RETAINER:
Type of desired Retainer
I hereby state that the above information provided are to the best of my knowledge, true and accurate and I undertake to abide under the tenets of the Retainer agreement.(Required)
Accepted file types: jpg, png, pdf, Max. file size: 1 MB.