Conflict Matter Application Official Use OnlyOfficer Name(Required) First Last Email(Required) Office Location(Required)S01- 41 Loftus Street, Legal Aid BuildingS02- 16 Kimberly StreetS03- 73 Gordon StreetS05- Nasinu- Valelevu Complex Ground FloorS05/2 Nasinu- Valelevu Complex Level 1S06- Nausori Level 1 YM Haniff ArcadeS07- Korovou Waimaro Ciricuit Society BuildingS08- Navua Ro Matanitobua ComplexS09- Sigatoka Level 1, Magistrate’s Court ComplexS10- Nadi 1st Floor, Units 10-13 GT PlazaS11- Lautoka Level 1, Magistrate’s Court Complex Tavewa AvenueS11/2- Lautoka Marine DriveS12- Ba Magistrate’s Court Complex Old Bridge RoadS13- Tavua 1st Floor, Dalpat Singh Building Opposite Tavua Magistrate Court Nasivi StreetS14- Rakiraki 1st Floor, Naidu Investments Limited Building Vaileka Sub Division Main StreetS15- Labasa Old Court House Building Jaduram StreetS16- Savusavu Level 1, Vunilagi House Main StreetS17- Seaqaqa 70, Seaqaqa TownshipS18- Nabouwalu Naulumatua HouseS19- Taveuni First Light Inn Building Ground FloorS20- Levuka Lomaiviti Holdings Building Beach StreetS21- KeiyasiS22- VunidawaS23- KadavuS24- RotumaOfficer Designation(Required)Client Information OfficerLegal OfficerReceptionistOffice In Charge(Required) Applicant for Legal Representation- New AppTitle(Required) Mr Ms Enter full name(Required) Residential Address(Required) Street Address City/Town Date of Birth(Required) DD slash MM slash YYYY Date Application Received(Required) DD dash MM dash YYYY LAC Client ID Number(Required) Type of Matter(Required) Family Law Criminal Law Civil Law Case/Order Type Has the matter been filed? Yes No Where is the court?SuvaLautokaLabasaNasinuNausoriNavuaNadiBaRakirakiTavuaTailevuSigatokaLevukaSavusavuTaveuniCourt Case Number Applicant for Legal Representation (Existing Party)Title(Required) Mr Ms Enter full name(Required) Residential Address(Required) Street Address City/Town Date of Birth(Required) DD slash MM slash YYYY Date Application Received(Required) DD dash MM dash YYYY LAC Client ID Number(Required) CCMS AAP Number(Required) Type of Matter(Required) Family Law Criminal Law Civil Law Case/Order Type Has the matter been filed? Yes No Where is the court?SuvaLautokaLabasaNasinuNausoriNavuaNadiBaRakirakiTavuaTailevuSigatokaLevukaSavusavuTaveuniCourt Case Number Lawyer In Carriage(Required) State the reason for matter to be conflict(Required)Terms and Condition(Required)This application will help us decide on conflict matter allocation. You must complete all required sections. Agree Disagree HiddenConflict Unit Use OnlyHiddenIs the matter conflict? Yes No HiddenWill the matter be Brief Out? Yes No HiddenType of Brief Out Internal External HiddenFile recommended for allocation to which office?S01- 41 Loftus Street, Legal Aid BuildingS02- 16 Kimberly StreetS03- 73 Gordon StreetS04- MacGregor StreetS05- Nasinu- Valelevu Complex Ground FloorS05/2 Nasinu- Valelevu Complex Level 1S06- Nausori Level 1 YM Haniff ArcadeS07- Korovou Waimaro Ciricuit Society BuildingS08- Navua Ro Matanitobua ComplexS09- Sigatoka Level 1, Magistrate’s Court ComplexS10- Nadi 1st Floor, Units 10-13 GT PlazaS11- Lautoka Level 1, Magistrate’s Court Complex Tavewa AvenueS11/2- Lautoka Marine DriveS12- Ba Magistrate’s Court Complex Old Bridge RoadS13- Tavua 1st Floor, Dalpat Singh Building Opposite Tavua Magistrate Court Nasivi StreetS14- Rakiraki 1st Floor, Naidu Investments Limited Building Vaileka Sub Division Main StreetS15- Labasa Old Court House Building Jaduram StreetS16- Savusavu Level 1, Vunilagi House Main StreetS17- Seaqaqa 70, Seaqaqa TownshipS18- Nabouwalu Naulumatua HouseS19- Taveuni First Light Inn Building Ground FloorS20- Levuka Lomaiviti Holdings Building Beach StreetS21- KeiyasiS22- VunidawaS23- KadavuS24- RotumaHiddenFile recommended to external lawyerZoyab Shafi Mohammed LegalPacifica Barrister and SolicitorOtherHiddenFile recommended to external lawyer (if other)
