KIMC - Korea International Mediation Centre

◆ I. Contact Information of the Initiating Party ◆

Name of the Initiating Party/Entity

Contact Numbers

Mailing Address

Email Address

◆ Ⅱ. Contact Information of the Initiating Party’s Counsel ◆

Name of the Law Firm and Counsel

Contact Numbers

Mailing Address

Email Address

◆ III. Contact Information of the Other Party ◆

Name of the Opposite Party/Entity

Contact Numbers

Mailing Address

Email Address

◆ IV. Contact Information of the Other Party’s Counsel ◆

Name of the Law Firm and Counsel

Contact Numbers

Mailing Address

Email Address

◆ V. Dispute ◆

Please identify sector/area of dispute. Brief information of dispute.

◆ VI. Agreement to Mediate ◆

The parties have agreed to refer their dispute for mediation at KIMC and the evidence of the mediation agreement is attached to this Form.The parties have agreed to refer their dispute for mediation at KIMC but does not have written evidence of the mediation agreement.The Parties have not agreed for mediation at KIMC.

◆ VII. Mediator ◆ List of the potential nominees for Mediators

Name of the nominated Mediator

◆ VIII. Declaration ◆

I declare that the information given by me in this form is true to be the best of my knowledge.

개인정보취급방침

항목에 대한 설명을 입력해주세요

개인정보수집동의

Application Form

‌

◆ I. Contact Information of the Initiating Party ◆

Contact Numbers

Mailing Address

Email Address

◆ Ⅱ. Contact Information of the Initiating Party’s Counsel ◆

Contact Numbers

Mailing Address

Email Address

◆ III. Contact Information of the Other Party ◆

Contact Numbers

Mailing Address

Email Address

◆ IV. Contact Information of the Other Party’s Counsel ◆

Contact Numbers

Mailing Address

Email Address

◆ V. Dispute ◆

◆ VI. Agreement to Mediate ◆

◆ VII. Mediator ◆ List of the potential nominees for Mediators

Name of the nominated Mediator

◆ VIII. Declaration ◆

개인정보취급방침