Legal Consultation Registration Form

Date of consultation: No.: Consultant

Circumstances Name Gender Date of Birth Year Month Day Nationality Mobile Phone Email Contact Address Work Unit Position /Occupational information source □ Internet search □ News media □ Introducer ( ) □ Organization recommendation □ Purpose of consultation □ Consultation on legal issues □ Entrusted cases □ Other cases

Types of civil and commercial cases □ Divorce disputes □ Child support □ support disputes □ inheritance disputes □ traffic accidents

□ medical accidents □ work injury disputes □ labor disputes □ commodity sales □ loan disputes □ contract contracts □ guarantee contracts □ property rights disputes □ intellectual property rights □ maritime disputes □ Securities disputes □ Bankruptcy disputes □ Futures disputes □ Personnel disputes □ Other disputes and criminal cases □ Intentional injury □ Intentional homicide □ Traffic accidents □ Endangering national security □ Robbery

□ Drug crimes □ Cultural relics crimes □ Abuse and abandonment □ Harm National defense interests □ Robbery □ Theft □ Endangering public security □ Smuggling □ Fraud □ Prostitution and other crimes □ Other administrative cases □ Administrative collection □ Administrative license □ Administrative payment □ Administrative confirmation □ Administrative penalty □ Administrative enforcement □ Administrative contract □ Administrative procedure □ State Compensation □ Other Cases

After consultation

Lawyer on the matter

Opinions and remarks (the following content is filled in by the lawyer) Processing results □ Lawyer undertook □ Answer and processing □ Transfer to others □ Charges □ Free answers □ Charged consultation (charge standard RMB/time or RMB/hour) Note: Lawyer’s legal advice is only an objective statement and independent legal judgment based on the facts stated by the question raiser and the materials provided