Commercial Dispute by Mediation

Application form for settlement of commercial dispute by mediation

Data of the plaintiff (requesting mediation) :

Plaintiff's full name *

Nationality of the plaintiff *

ID Number *

Ccommercial Register No. *

Bahrain Chamber membership No. (if any)

Commercial Address *

Phone Number *

E-mail *

Name of the plaintiff’s agent (if any)

Address of the plaintiff's agent's office

Plaintiff's Agent Phone

Email of the Plaintiff's Agent

Data of the defendant :

Defendant's full name *

Nationality of the defendant *

Identity or Commercial Registration Number (If Available)

Bahrain Chamber Membership No. (if any)

Commercial Address *

Phone Number *

E-mail *

Commercial Dispute Data

Date Of The Contract Or Date Of The Mediation Agreement

Text Of The Mediation Clause In The Contract Or Mediation Agreement

Nature Of The Commercial Dispute *

Word count: 250 words

Amount and Required *

Select Mediator

Table of certified and practicing mediators list

Mediator Name *

Place Of Mediation *

Mediation Language *

Required Mediator Qualifications *

Attachments:

Upload The Files And Documents * Choose a File maximum file size is 5 MB

Upload The Disputed Contract * Choose a File maximum file size is 5 MB

Submitting The Agency Document From The Plaintiff. (If Any) Choose a File maximum file size is 5 MB

Upload other Supporting documents, (if any) Choose a File maximum file size is 5 MB

Upload The Contract Document Containing The Mediation Clause Or The Mediation Charterparty Agreement, (If Any) Choose a File maximum file size is 5 MB

Acknowledgment :

I acknowledge *

I hereby acknowledge that the information contained in this form and any attached attachments are correct. If any change occurs to the information provided, I pledge to notify the Centre immediately of that.

I acknowledge *

That in order to initiate mediation procedures, all registration requirements must be met in accordance with Article (3) of the Mediation Regulations approved by the Centre. This includes the information required in this form, in addition to the contract containing the mediation clause or a separate agreement for mediation and completing payment for the submission of a request to resolve commercial disputes.

I acknowledge *

That if the registration requirements cannot be met within 30 days from the date of my notification, the application will be considered void.

I acknowledge *

Mediation procedures will begin when the Centre receives payment for submitting a request to settle commercial disputes specified in the mediation regulations.

I acknowledge *

That all correspondence from the Centre related to my commercial dispute will be made via email.

I acknowledge *

I have read the regulations of the Commercial Disputes Settlement Centre and I will commit to abiding by them and implementing what they stipulate.

I acknowledge *

I authorize the Centre to process the personal data provided in this form for the purposes of mediation procedures according to PDPL No.30 of 2018

Completion of the application submission procedures:

The parties will receive a formal letter to begin the process of settling this commercial dispute by mediation once all the basic requirements set out above have been met.

*Mandatory
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Commercial Dispute by Mediation

Application form for settlement of commercial dispute by mediation

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