Application

Mediation application (reference format)

Shenzhen Qianhai international commercial mediation center:

(Party A / applicant)                                       （ Certificate number                    ， Legal representative                               ， Domicile                                    ， contacts                     ， contact number                      ， E-mail                          ） And (Party B / respondent)                                   ，（ Certificate number                   ， Legal representative                  ， Domicile                                      ， contacts                      ， contact number                ， E-mail                        ） Occurs between                                 （ Cause of action) the dispute cannot be resolved through negotiation between both parties. According to the consent of both parties / the wishes of the applicant, we hereby apply to your Mediation Center for mediation:

1、 Case facts and disputed matters

2、 Mediation demands and justifications of both parties / applicants

3、 Evidence and related materials (Catalogue)

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Sincerely

Party / applicant (signature and seal)

Date of application:   Year   Month   day