Practitioner Sign-Up Form

Profile/Personal Details

Salutation

Full Name of Practitioner

Date of birth:

Postal Address

Country of Residence

City of Residence

Nationality

Region

Year of admission

Gender

Password

Phone

Picture

Preferred method of communication

Availability *

Full-Time

Part-Time

Preferred Case Types *

Domestic

International

Willingness to travel *

Yes

Business Profile

Postal Address

Country

City

Telephone

Fax

Mobile

Preferred method of communication

Communication type

Working Days

Working Hours

Academic Qualification(s)

Please provide photocopied evidence of your university degree duly certified in the country of issuance with a legalized translation into English. Please attach evidence of any other relevant academic qualifications, if any

Degree Title

Institution Name

Date

Location

Professional Experience

ODR Experience

Have you participated in dispute resolution proceedings conducted entirely online?*

Yes

Current Professional Roles

From date

To date

Designation

Organization Name

Work Experience

From date

To date

Designation

Organization Name

Areas of Preferred Expertise

Please select areas of Specialization

Jurisdiction(s)

Rules of Arbitration

Please Select Rules of Arbitration you have Conducted Proceedings Under

Experience in seat of arbitration

Languages

Jurisdictional Experience

Outline the national jurisdiction(s) and legal system(s), to which your academic qualification(s) and practice pertain

Jurisdictional Experience

Additional Information

Provide any other information that supports your application and evidences your professional standing in your field of work and your ability to deliver independent and unbiased rulings. Attach extra documents as necessary

Additional Information

Professional Biography

Practitioner Sign-Up Form

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