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    Details
Please enter the following information correctly.
Please Attach   your Photograph
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Title : * Dr.  Engg.  Miss.  Mr.  Mrs.  Ms.  Prof. 
First Name : *
Last Name : *
Date of birth : *
Nationality : *
Manual Reference No. :  
Gender : * Female  Male 
Email : *
Preferred contact : * Business  Personal 
Preferred mode of communication : * E-mail  Fax  Post 

    Home Address
Address : *
P.O.Box / Zip Code : *
City : *
Country : *
Telephone :  
Fax :  
Mobile :  
Email :  

    Business Address
Address : *
P.O.Box / Zip Code : *
City : *
Country : *
Telephone : *
Fax : *
Mobile :  
Email : *
Website :  
Working Hours :  

    Academics *
Please provide photocopied evidence of qualifications.
  * To Add one more Qualification Please click '+' Button.
* To Delete a Qualification Please click '-' Button.

Please click   Attachment   to upload document
Qualification * Institution * Date *
(dd/MM/yyyy)
Location/Schedule  

    Languages *
* To Add one more Language Please click '+' Button.
* To Delete a Language Please click '-' Button.

Language * Written (%) * Spoken (%) *  

    Employment History *
Outline your employment history for the past 5-10 years, listing name of organization, dates, and brief details of position held AND attach your C.V.
Please click   Attachment   to upload document

    Fields of Experience *
Please indicate areas of Specialization.
For example: Arbitration; Commercial Law; Company Law; Competition Law; Conflicts of Law; Construction Law; Contract; Joint Ventures; Banking; Bankruptcy; Copyright; Environmental Law; Foreign Investment; Insurance; Air Law; Maritime Law; Oil & Gas Law; Royalties; Sharia Law; Taxation; Transfer of Technology; etc

    Arbitration Training
If relevant, please describe any training programs in dispute resolution and arbitration which you have taken and evidence of completion of programs. Please include title of program, educational institution, date, and other relevant information:

    Experience in Arbitration *
If you have experience in Arbitration please list the number and nature of cases in which you participated as an arbitrator, conciliator, expert or advocate in the last 5 years.
Please click   Attachment   to upload document
Attach evidence of up to 5 awards rendered within the last 5 years, where available.
  • (where the arbitration had been under an arbitral institution please provide the reference number for each case).
  • (where the arbitration is Ad-Hoc; please provide an abbreviated reference of the parties without violating confidentiality).
* If further information is required the candidates may be individually contacted for an interview. Such interview may be face to face or otherwise. Further and in particular, the candidate might be asked to submit up to three sanitized awards that he/she had rendered from the list set out above.

    Publications and Intellectual contribution

    Professional Membership
List all dispute resolution institutes and other organizations of which you are a member and the date of admission.
* To Add one more Membership Please click '+' Button.
* To Delete a Membership Please click '-' Button.

Title Date Admission (dd/MM/yyyy) Status  

    Additional Information
Provide any other information which supports your application. Attach extra sheets as necessary.
Please click   Attachment   to upload document
I, the undersigned, hereby confirm that the above information is true, complete and accurate to the best of my knowledge.