Request for Mediation

CLAIMANT

±¹³»¾Ë¼±-½ÅûÀÎ ¿Â¶óÀνÅû
*Name of Corporation
Name of Representative *Person in charge
*address
Telephone No FAX No
Mobile Phone
E-mail  @ 

RESPONDENT

RESPONDENT
*Name of Corporation
Name of Representative *Person in charge
*address
Telephone No FAX No
Mobile Phone
E-mail  @ 
*SPECIFIC DETAILS OF THE BUSINESS TRANSACTION AND THE DISPUTE
*PURPORT OF REQUEST (CLAIM OR RELIEF SOUGHT; AMOUNT, IF ANY)
  • GROUNDS FOR REQUEST AND EVIDENCES
  • ( COPIES OF DOCUMENTARY EVIDENCE INCLUDING CONTRACTS, SHIPPING DOCUMENTS, INSPECTION REPORTS, PAYMENT RECORDS, ETC.)
  • ENCLOSURES COPIES OF DOCUMENTARY EVIDENCE AND POWER OF ATTORNEY (IF ANY, BEING MADE BY AN AGENT).
Attached File