طلب تحكيم

 

Arbitration form

 

Raised by\................. (Plaintiff)

 

 

Against the company\........................(defendant)

 

 

 

1- Data of the party demanding arbitration (plaintiff):

 
 

Name:

 

Job:

 

Nationality:

 

Address:

 

Post card no.:

 

Tel:

 

 

2- Data of  defendant:

 

 

Name:

 

Job:

 

Nationality:

 

Address:

 

Post card no:

 

Tel:

 

 

3- Names of arbitrators,  their jobs and addresses:

 

 

a- name of the Arbitrator:

 

Address:

 

Tel:

 

Fax:

 

 

b- Name of the Arbitrator:

 

Address:

 

Tel:

 

Fax:

 

 

c- Name of the Arbitrator:

 

Address:

 

Tel:

 

Fax:

 

 

4- Disputed issues:
 

 

 

5- Demands of both parties:

 

 

Plaintiff’s demands:

 

Defendant’s demands:

 

6- The place of arbitration
 

 

7- Procedural rules
 

 

8- Governing Law
 

 

9- Language of the arbitration

 
 

                                                                                                              

10- duration of the arbitration
 

 

 

Arbitrator for the plaintiff’s party                                                         Arbitrator for the defendant’s party

 

 

Main arbitrator

 

 

 

Parties to the arbitration

 

   Defendant                                                                                                                                                Plaintiff