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Full Name:
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Email Address:
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Mobile Number:
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Telephone Number:
Nationality:
South Africa
Botswana
Democratic Republic of the Congo
Central African Republic
Egypt
Eswatini
Ethiopia
Ghana
Ivory Coast
Kenya
Lesotho
Malawi
Morocco
Mozambique
Namibia
Nigeria
Senegal
Sudan
Tanzania
Tunisia
Uganda
Zambia
Zimbabwe
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Professional Profile
Practitioner Type:
Arbitrator
Mediator
Adjudicator
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No. of Appointments:
Group Membership/Company Information/Practice Information:
If applicable
CIArb Membership Number:
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Please Tick to indicate that you meet each criteria for admission:
Admitted as a Fellow
Detailed understanding of Domestic Arbitration Act 42 of 1965 and International Arbitration Act 15 of 2017and ability to research, understand and apply legal principles.
Suitable experience in the applicant's chosen area of profession.
Ability to give directions.
Ability to write an award.
Actual conduct of an arbitration
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Membership of, Affiliation to and Fellowships awarded by Alternative Dispute Resolution bodies:
(e.g. AFSA, AoA, AAA, CIArb etc.)
Areas Of Expertise:
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Adjudication
Appellate Arbitration
Arbitration
Banking
Civil Litigation & Procedure
Company Law, Commercial Law
Conciliation
Constitutional Law
Consumer Disputes
Corporate and Commercial Law
Dispute Adjudication Board
Dispute Boards
Employment Law
Environmental Law
Finance
Governance, Risk & Compliance
Intellectual Property Law
International ADR
Mediation
Mergers and Acquisitions
Property Law
Restorative Justice
Shareholder Disputes
Tax Law
Trust and Estates
Persons & Family Law
Maritime Law
None of the above
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Alternative Dispute Resolution Roles acted / participated in:
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Adjudication
Advocates
Dispute committees
Appellate Arbitration/ Panel chair
Arbitration
Arbitration Tribunal/ Panel Chair
Dispute Adjudication Board
Chartered Arbitrator - CiARB
F AoA
Counsel
Dispute Board Chair
Dispute Board Member
Judge
Mediator
Sole Arbitrator
None of the above
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Alternative Dispute Resolution Experience:
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(e.g. committee membership, community services, publications, etc)
Experience as Arbitrator / Mediator / Adjudicator:
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Years of Experience:
1 - 5 Years
5 - 10 Years
10 - 15 years
15 - 20 years
20 - 25 Years
30 Years +
Number of Appointments / Nominations:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15+
16
Website Link to Profile:
LinkedIn Profile Link:
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Copy of Fellowship Certificate:
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Two (2) written business references:
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Date:
Your Email:
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I agree
that by ticking this box I confirm and accept the following: 1) I have the necessary experience in this field 2) I will accept appointments 3) I will make and continue to make the necessary and relevant conflict of interest disclosures to the parties to the alternative dispute resolution process
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I agree that by ticking this box I confirm and accept the following: 1) that my information as disclosed herein will be accessible by and made available to the Alternative Dispute Resolution Committee – Ad Hoc appointments, 2) that my information disclosed herein will be made available and be published on the Ciarb South Africa Branch website, 3) that my information as disclosed herein may be made available to third parties seeking the appointment of an Arbitrator/Mediator/Adjudicator (dispute resolver), 4) I will not hold the Ciarb South Africa Branch / Ciarb UK liable in any way for either publishing, making available or displaying my personal information, 5) I acknowledge that neither the Ciarb South Africa, its Alternative Dispute Resolution Ad Hoc Committee, nor the Committee Members (appointing authority) are liable, by reason of having been nominated, appointed or for whatsoever reason as an dispute resolver, for anything done or omitted to be done by the appointing authority and I indemnify the appointing authority for any and all of my conduct, actions or inactions associated with my appointment as a dispute resolver. I confirm that the information available on my profile and published is true and correct.
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