Looking for a Kenya Legal Forms And Templates? Download it for free!

Form 1a - Application For Ncia Arbitrator Panel Status - Nairobi Centre For International Arbitration

Nairobi Centre for International Arbitration - NCIA Arbitrator Panel Status Standard

FORM 1A

NAIROBI CENTRE FOR INTERNATIONAL ARBITRATION

Co-operative Bank House, 8

Floor, Haile Selassie Avenue

P.O. Box 548 – 00200 Nairobi, Kenya

Affix Photo

+254 (020) 2224029/2240377 Ext: 125/179

APPLICATION FOR NCIA ARBITRATOR PANEL STATUS

I agree, if accredited to the NCIA Arbitrator Panel, to be bound by the terms and conditions

applicable to NCIA Arbitrator Panel Status and to any subsequent amendments and/or alterations

thereto which may be made at the discretion of the NCIA. I understand that the NCIA is not obliged

to approve this application or give reasons for non-approval.

(Please fill in all the particulars required below in block letters. If the space provided is not sufficient

particulars may be given in an additional paper. Any incomplete application will not be considered)

(Tick (√) the appropriate box for selection of category: Note Regulation 3: NCIA Arbitrator Panel

Status Standard)

Domestic Arbitration Panel

International Arbitration Panel

1. PARTICULARS OF APPLICANT

Name: Surname: ___________________________________________Middle Name: __________________________________

Other: __________________________________________________________________________________________________________

Nationality (Identity Document*/Passport No*): _________________________________________________________

(*Attach copies)

Multiple Nationalities (if applicable specify):_______________________________________________________________

(Identity Documents*/Passport Nos.*) (*Attach copies)

Name of Firm (if applicable): _________________________________________________________________________________

Page 1 of 4

Form 1a - Application For Ncia Arbitrator Panel Status - Nairobi Centre For International Arbitration