CLIENT INFORMATION FORM

NAME: ________________________________

SEX: Male ___ Female ___

OCCUPATION: ___________________________

ADDRESS: _____________________________

_______________________________

CONTACT DETAILS:

Mobile No: ___________________________ Email Id: _____________________________

(mark an asterisk against your preferred form of contact)

CONSULTATION CHARGES: Rs. 3000/- for the first session

(These charges are inclusive of all taxes)

DO YOU NEED FINANCIAL AID? Y/N _____ (If Yes, specify Income _____________)

DECLARATION BY THE CLIENT

I promise to bear all the charges payable in respect of the consultation provided to me during
the first session itself. In case I am in need of Financial Aid, I agree to submit my income and
other details relevant to assess my financial capacity.

Signature of the Client

__________________

DECLARATION BY THE BAKER STREET FIRM

We undertake not to disclose anything that has been shared with us through this form or during
the session. We further undertake not to disclose anything that is disclosed to us during any
further session.

Adv. Sherlock Holmes Adv. James Watson

__________________ ________________