Matter Manager

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Request for Mediation Online Application
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matter
referring party
First Name(s)
Surname
Registration No (if juristic)
Address Line 1
Address Line 2
Address Line 3
Postal Code
Telephone No (W)
Cell No
Email Address
VAT Number
claimant representative
First Name(s)
Surname
Telephone (W)
Email Address
other party
First Name(s)
Surname
Registration No (if juristic)
Address Line 1
Address Line 2
Address Line 3
Postal Code
Telephone No (W)
Cell No
Email Address
VAT Number
other party representative
First Name(s)
Surname
Telephone No (W)
Email Address
mediation
Admin Fee Payment Confirmation
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Written Agreement to Mediate
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Pleadings or Similar Documents
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referring party mediator
First Name(s)
Surname
Address Line 1
Address Line 2
Address Line 3
Postal Code
Telephone No (W)
Email Address