Accelerated Route

Application Form to gain Prime Dispute Membership
SECOND EDITION CAPSULE COURSE | CENTRE FOR ALTERNATIVE DISPUTE RESOLUTION, SYMBIOSIS LAW SCHOOL, HYDERABAD | ARBITRATION: DOMESTIC AND INTERNATIONAL
(THEORY AND PRACTICE )
Do not complete this form if you do not want Prime Dispute to collect, store, share and process your information.

Mandatory
All the boxes in this section with * are required to be completed by all who are submitting this form, without which the application for membership cannot be processed

* Indicates required field

Title (e.g. Dr. / Ms. / Mrs. / Mr.): *

Name:

First / Given *

Middle *

Last / Family *

Gender (Female / Male / Other): *

Company/Institute Name: *

Designation (e.g. Student, Professor, etc.): *

Email: *

Re-Confirm Email Address provided above *

Landline: *

Mobile (e.g. +91-xxxxx-xxxxx) *

Permanent Address (i.e. where all written communication, if any, will be dispatched) *

Line 1

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City

State

Zip Code

Country

Website / Blog Page: *

Social Media Links (e.g. LinkedIn, Twitter, Instagram, Facebook, etc.): *

Languages*
Indicate level of fluency (i.e. "native/fluent", "intermediate/professional" and "basic") in both written and spoken next to each language mentioned in the box below: e.g.
ENGLISH
written - native/fluent
spoken - native/fluent

. *

Membership Designations

APD (Advocate Prime Dispute) | Membership
All candidates who attain 60% and above on the examination are entitled to an exemption, i.e. eligible for direct admission (i.e. without having to sit for a separate examination/course) as an Advocate member of the prestigious Prime Dispute U.K. "Advocate Prime Dispute" grade membership entitles use of the "APD" post-nominals. There is no annual fees payable for APD membership of Prime Dispute U.K.

MPD (Member Prime Dispute) | Membership
Those candidates who attain 85% and above on the examination are entitled to an exemption, i.e. eligible for direct admission (i.e. without having to sit for a separate examination/course) as an 'Member' grade member of the prestigious Prime Dispute U.K. "Member Prime Dispute" grade membership entitles use of the "MPD" post-nominals. The biennial (i.e. every 2 years) fees payable for MPD membership of Prime Dispute U.K. is GBP £250/-"

Please tick the membership designation you are applying for: *

APD (Advocate Prime Dispute) MPD (Member Prime Dispute)

Please confirm one of the following. I have experience in conflict/dispute avoidance/resolution: *

Less than 5 years More than 5 years

Additional information
To be filled-in for those who have successfully completed the course but are not undergraduate students (i.e. those who have completed a primary degree and currently pursuing a second degree or post graduate diploma, etc. are required to fill-in this section).

Please list the Cities and Countries you can advise or represent. *

Qualifications & Professional Background

Academic Qualifications: *

Other (relevant) Academic Qualifications: *

Primary Professional Qualifications: *

Please indicate the Industry and sectors you are active within: *

Please state your professional experience/background information: *

Please list your specialisations: (or attach a CV below) *

Do you have experience of Online Dispute Resolution: *

Are you a member of another membership body/organisation? *

CV *

Max file size: 20MB

Mandatory
All the boxes in this section are required to be completed by all who are submitting this form, without which the application for membership cannot be processed

I declare that the information I have provided on this application form is true and accurate. I agree to abide by the; User Agreement, Business Ethics and Conflict of Interests Policy, Terms and Conditions*** (Please do not tick yes, if you do not want Prime Dispute to collect, store, share and process your information), or similar. Please note APD (Advocate Prime Dispute) membership is free. A biennial fee is required for MPD (Member Prime Dispute - £250) membership. *

Yes

Please upload a colour scan of the certificate awarded for this course *

Max file size: 20MB

Have you ever been convicted of a criminal offence, other than a minor motoring offence such as parking os speeding? If so, please give details. *

Please indicate it you prefer to 'pay online' or 'receive an Invoice to pay directly' once your application has been approved and accepted? *

Pay Online Receive an invoice and pay directly I have applied for APD Membership which is free

Name:

First / Given *

Middle *

Last / Family *

Date *

* This is a required field and will need to be completed before you can submit your application.

Please note MPD (Member Prime Dispute) members: Once you click submit your application will be sent to our team to review. You will also be sent an invoice or can pay online only, which includes a biennial (two years)** fee of £250, (An Invoice will include the name and address you have provided above). If you prefer an alternative name or department within the organisation to be named, please specify in the below box. If you prefer you can also pay online.

*** Please read our Terms & Conditions fully- You confirm you opt in, of receiving information or advertisements from us. Prime Dispute will collect, store, share and process member information within and outside the EU and comply with all data protection laws. If you have any questions, please contact Prime Dispute.

Invoice details (If different to the original details provided at the top of the form). *

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About Prime Dispute

Prime Dispute / Is a global membership organisation for qualifications and standards in law, dispute avoidance, management & resolution

Our purpose / Helping industry create a more prosperous and conflict free working world.

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PRIME DISPUTE Membership aPPLICATION Form

PRIME DISPUTE Membership
aPPLICATION Form