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Arbitrator Empanelment Application Form

This Form is for Professionals Seeking Empanelment as Arbitrators with IIDRC. Empanelment is Subject to Eligibility Verification, Institutional Discretion, and Compliance with the Arbitration and Conciliation Act, 1996.
SECTION 1 - PERSONAL DETAILS

Full Name

Date of Birth

Gender

Gender
A
B
C

Nationality

Phone Number

Email Id

Residential Address

City and State

LinkedIn Profile

Upload Recent Photograph

SECTION 2 - PROFESSIONAL PROFILE

Primary Professional Category

Primary Professional Category
A
B
C
D
E
F
G

Total Years of Professional Years

Current Designation

Organization or Company Name

Brief Professional Summary

SECTION 3 - ELIGIBILITY CONFIRMATION

Please Select Eligibility Category Applicable to you.

Please Select Eligibility Category Applicable to you.
A
B
C
D
E
F

Declaration of Eligibility

Declaration of Eligibility
SECTION 4 - ARBITRATION EXPERIENCE

Year of Arbitration Experience

Number of Matters Acted as Sole Arbitrator

Number of Matters Acted as Presiding Arbitrator

Nature of Arbitrations Handled

Nature of Arbitrations Handled
A
B
C

Subject Matter Expertise

Subject Matter Expertise
SECTION 5 - TRAINING AND ACCREDITATION

Have you Completed any Arbitration or ADR Training

Have you Completed any Arbitration or ADR Training
A
B
SECTION 6 - PRIOR EMPANELMENT

Are you Currently or Previously Empaneled with any Arbitration institution

Are you Currently or Previously Empaneled with any Arbitration institution
A
B
SECTION 7 - CONFLICT DISCLOSURE

Please Disclose Any Circumstances that May Give Rise to Justifiable Doubts Regarding Independence or Impartiality

SECTION 8 - FINAL DECLARATION

Declaration & Consent

Declaration & Consent

Digital Signature

Date Of Submission