Shenzhen Qianhai international commercial mediation center

Application for mediation

   Shenzhen Qianhai international commercial mediation center：
   applicant：                                   （Identification Number：                         ，Legal representative           ）
   Place of residence： 
   contacts                ，Telephone                     ，
   E-mail          ）
 
   Respondent：                               （Identification Number：                         ，Legal representative            ）
   Place of residence： 
   contacts                ，Telephone                     ，
   E-mail          ）
 
   If there is a dispute between the applicant and the respondent, which cannot be settled through negotiation, we hereby apply to your Mediation Center for mediation according to the agreement of both parties / the wishes of the applicant：
 
   1、 Facts of the case and controversial issues
    
 
 
 
 
 
 
 
 
 
   2、 Mediation demands and justifications of both parties / applicants
  
 
 
 
 
 
 
 
 
 
   3、 Evidence and related materials (table of contents) (Annex)
 
 
 
 
 
 

               applicant：                               
Date of application： 2021  year   month   day