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1 Step 1
Request for Mediation

The named partie(s) hereby submit the following dispute for mediation, under the following rules:

Rules Selected:
Nature of dispute (attach additional sheets if necessary):
Amount of Monetary Claim Or Nature of Non-Monetary Claim:
Type of Business: Claimant
Respondent
place of hearing:
Name of party
Name of party
Address
Address
City,State/province
City,State/province
Phone
Facsimile
Phone
Facsimile
Name of party's Attorney or Representative
Name of party's Attorney or Representative
Name of Firm (if applicable)
Name of Firm (if applicable)
Address
Address
City,State/province
City,State/province
Phone
Facsimile
Phone
Facsimile
Signed
Signed
Phone
Date
Phone
Date

Please file two signed copies and the non-refundable filing fee with the ICADRP Secretariat. Address 32-A, Street 38, F-10/4, Nazim ud Din Road, Islamabad, 

For more information. Please contact us at +92 51 2111595 – 8 Or visit our website at www.icadrp.com

Mediation Agreement (if any)
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