Empanelment of Mediators with IAMC

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Date Of Birth

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Number of Years of Practice in this Profession

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Mediation Experience

1. Mediation Training: (Provide details of mediation training, including number of hours, and accreditations specifying the recognized organizations.)

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2. Years of practice as a Mediator:

3. Number of mediations conducted:

4. Types of disputes mediated & expertise:

5. Publications on Mediation (If applicable): (only PDF(5 MB Max), JPEG, JPG, DOCS)

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6. Empanelment with other institutions/tribunals/court-annexed mediation centres: Mention if you are empanelled elsewhere.

7. Familiarity with IAMC Fees: Confirm your awareness of IAMC's fee structure.

Yes

8. Willingness to work pro bono: Please indicate if you are open to pro bono work

Yes