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Discount Code Select Your Route Work Experience 1-4 years 5-6 years 7 years 7+ years Courses by AIADR or Recognised Courses equivalent * Introduction to ADR Course Module 1 Module 2 Module 3 Module 4 Others Others Equivalent Membership Member of another international institute recognized by AIADR AIADR Mediation Training Skills Course✓ Account Information Already have an account? Log in here Username Password Confirm Password E-mail Address Confirm E-mail Address Full Name LEAVE THIS BLANK Personal Particulars Title Please Select Mr Mrs Miss Ms Dr Professor Sir Lord Other Other First Name Last Name Gender Male Female Date of Birth Nationality Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea 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Address Address Address 2 Postcode/Zip Town/City State Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands US Armed Forces Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Profile Image Upload profile picture Recommended size is 100px X 100px Employment The below information will be used to assess your level of experience and knowledge in alternative dispute resolution. It will help to attribute the correct membership grade to you. Current Position Company / Self-employed Address Details of Professional Accreditations and Experience in ADR Qualifications Please provide the details of all courses taken and/or examinations passed in the field of alternative dispute resolution. Certified True Copies of all certificates listed herein shall be submitted with the Application Form. Course Title Examining Body Degree/Certificate Awarded Completion Date Remarks (if any) Add Qualifications 1 Course Title Examining Body Degree/Certificate Awarded Completion Date Remarks (if any) Add Remove Qualifications 2 Course Title Examining Body Degree/Certificate Awarded Completion Date Remarks (if any) Add Remove Qualifications 3 Course Title Examining Body Degree/Certificate Awarded Completion Date Remarks (if any) Add Remove Qualifications 4 Course Title Examining Body Degree/Certificate Awarded Completion Date Remarks (if any) Add Remove Qualifications 5 Course Title Examining Body Degree/Certificate Awarded Completion Date Remarks (if any) Add Remove Qualifications 6 Course Title Examining Body Degree/Certificate Awarded Completion Date Remarks (if any) Add Remove Qualifications 7 Course Title Examining Body Degree/Certificate Awarded Completion Date Remarks (if any) Add Remove Qualifications 8 Course Title Examining Body Degree/Certificate Awarded Completion Date Remarks (if any) Add Remove Qualifications 9 Course Title Examining Body Degree/Certificate Awarded Completion Date Remarks (if any) Add Remove Working Experience Please provide the details of all working experiences. Employer Job Title From To Add Works 1 Employer Job Title From To Add Remove Works 2 Employer Job Title From To Add Remove Works 3 Employer Job Title From To Add Remove Works 4 Employer Job Title From To Add Remove Works 5 Employer Job Title From To Add Remove Works 6 Employer Job Title From To Add Remove Works 7 Employer Job Title From To Add Remove Works 8 Employer Job Title From To Add Remove Works 9 Employer Job Title From To Add Remove ADR Experience Nature of work and practical achievements Experience in Arbitration Other Alternative Dispute Resolution Experiences Honors, Awards and Publications Professional Licenses and Memberships Type of License or Membership Status Active Expired Add Professional Licenses and Memberships 1 Type of License or Membership Status Active Expired Add Remove Professional Licenses and Memberships 2 Type of License or Membership Status Active Expired Add Remove Professional Licenses and Memberships 3 Type of License or Membership Status Active Expired Add Remove Professional Licenses and Memberships 4 Type of License or Membership Status Active Expired Add Remove Professional Licenses and Memberships 5 Type of License or Membership Status Active Expired Add Remove Professional Licenses and Memberships 6 Type of License or Membership Status Active Expired Add Remove Professional Licenses and Memberships 7 Type of License or Membership Status Active Expired Add Remove Professional Licenses and Memberships 8 Type of License or Membership Status Active Expired Add Remove Professional Licenses and Memberships 9 Type of License or Membership Status Active Expired Add Remove Language Skills Stating a language other than your native language means that you are fluent enough to arbitrate in such language. Language Level of Fluency Advanced Intermediate Beginner Add Language Skills 1 Language Level of Fluency Advanced Intermediate Beginner Add Remove Language Skills 2 Language Level of Fluency Advanced Intermediate Beginner Add Remove Language Skills 3 Language Level of Fluency Advanced Intermediate Beginner Add Remove Language Skills 4 Language Level of Fluency Advanced Intermediate Beginner Add Remove Language Skills 5 Language Level of Fluency Advanced Intermediate Beginner Add Remove Language Skills 6 Language Level of Fluency Advanced Intermediate Beginner Add Remove Language Skills 7 Language Level of Fluency Advanced Intermediate Beginner Add Remove Language Skills 8 Language Level of Fluency Advanced Intermediate Beginner Add Remove Language Skills 9 Language Level of Fluency Advanced Intermediate Beginner Add Remove Services Are you willing to serve pro bono on one (1) case per year, if called upon by AIADR to do so? Yes No Are you willing to serve as an emergency arbitrator? Yes No ADR Practioner Role Arbitrator Adjudicator Mediator ADR Practioner Expert Witness Expert Determination What is the area of expertise that you would like to work on that you have enough academic and practical expertise to work on if your application to join the AiADR panel was approved? (You may choose more than one choice) International Commerce & Trade Oil & Gas Marine Industry Construction M&A Joint Ventures Finance & Investment Intellectual Property Entertainment Labour Relations Real Estate IT Licensing and Franchising Medical Sciences Others Others Statement of Veracity and Understanding Have you ever been the subject of disciplinary action by a professional organization, convicted of a crime, whether in your home country or abroad? Yes No Please provide details below. Has any of your awards ever been vacated as a result of your failure to disclose any conflict of interest or relationship likely to affect impartiality or which might create an appearance of partiality or bias? Yes No Please provide details below. Upload documents Please upload following documents Copy of National Identity Card Copy of Passport Main Particulars Page Photograph Certificates Curriculum Vitae Processing fee is non refundable. Declaration under the Personal Data Protection Act 2010 * I confirm that I have read and am fully aware of my rights under the Personal Data Protection Act 2010 (as amended). I understand that if I become a member of the AiADR, I may be allocated to a Branch (and a Division), which has/have been established at the address I provided in this membership Application Form. I grant my consent to the AiADR to transfer all information submitted on this form and in annexes or attachments thereto, if any, to a Branch and a Division.I further consent to receiving information about the relevant activities of the AiADR as well as a Branch and a Division I will be allocated to, if any, and that the AiADR shares my contact information with carefully selected, relevant third parties for joint activities between the AiADR and such third parties (e.g. joint organisation of events, joint courses, etc.).I accept that the Private Data Protection Policy of AiADR as available on its website will be applicable to my membership. Declaration and Pledge * I hereby apply for membership with the Asian Institute of Alternative Dispute Resolution (AiADR). If admitted, I pledge to comply with the Constitution and all other Regulations of the AiADR, as can be found at www.aiadr.org, including any subsequent amendments and/or revisions that may be made from time to time. I confirm that I have reviewed the Constitution and the Regulations of the AiADR.I declare that to the best of my knowledge, the information I provided above is accurate. I understand that if I make any false statements, submit false information or fail to disclose information requested in this application, I will be subject to disciplinary actions according to the Constitution and other Regulations of the AiADR, as amended from time to time.I understand that my membership subscription rates depend on my grade of membership as set forth in the AiADR Membership Regulations and as can be found on the website at www.aiadr.org. Based on the information provided and documents submitted in support of my application, I will be assigned the highest membership grade possible. I understand that if I select a higher membership grade than the one that can be assigned to me, I will be assigned a lower membership grade.Once admitted as a Member, I request that you issue me a Membership Certificate. I agree that the Certificate will remain the property of the AiADR and I undertake to return the Certificate if I cease to be a Member of the AiADR.I am aware that I am entitled to use the post-nominal designatory letters only if I have paid my annual subscription fees and I undertake not to use the post-nominal designatory letters if I have not paid my fees for the respective calendar year and/or upon ceasing to be a Member of the AiADR.I hereby pledge my unconditional commitment to abide by the Code of Conduct and Code ofo Ethics (collectively referred as CCE_ applicable to all members of AiADR. I futher accept that any breach of the CCE will result in a disciplinary action to be taken by the AiADR Governing Council. Processing…