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Application for Pro Bono Assistance

Please complete all mandatory fields in the form below and submit for our review. Please ensure that you have read our Pro Bono Policy before submitting your details. Alternatively, you can access a fillable PDF version of this form here.

Pro Bono assistance
SECTION 1 - Personal Details
SECTION 2 - Details of Matter
Please select the type of matter: *
SECTION 3 - Legal Aid
Have you contacted Legal Aid for assistance? *
Have you been refused Legal Aid for your matter? *
If yes to the above, why is this the case?
Have you appealed Legal Aid's refusal decision?
If yes, what was the outcome?
SECTION 4 - Previous/other Assistance
Have you previously sought or received assistance from a solicitor or Registered Migration Agent (“RMA”)? *
Type of assistance
Why was this individual/organisation unable to provide you with further assistance?
SECTION 5 - Financial Circumstances
Are you currently employed in any capacity? *
If yes to the above, in what capacity are you employed?
Are you currently receiving any government or welfare benefits?
On average, what is your income per month? (after tax)
SECTION 6 - Declaration
By clicking 'submit' you declare that all the information provided in this form is a true and accurate representation of your circumstances to the best of your knowledge and understanding.

All information provided to Nomos (including information provided via this form) is held in confidence in line with our Privacy Policy and our professional obligations. Please note that completion of the above form or contacting us by email or phone does not create a solicitor-client relationship between us.

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