Open Link - ARAB2 (Fellow Member Application)

Application Form: Join as a 'Fellow Prime Dispute (FPD)'
Please read: 'Grade benefits (Member or Fellow Grade)' before you complete and submit your application as a fee is associated to Fellowship.
Do not complete this form if you do not want Prime Dispute to collect, store, share and process your information.

* Indicates required field

Title: *

Name *

First

Last

Company name: *

Job title *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Work Telephone: *

Mobile: *

Email: *

Website Address: *

Social Media Links: *

Please provide a summary of your dispute avoidance/resolution experience: *

Please list the Cities and Countries you can advise, represent & act: *

Please confirm you meet the following: (a) Minimum of 8 years senior experience in arbitration, adjudication, or mediation, etc, in a lead/sole capacity; including the management of proceedings and attending hearings that have resulted in the publication of a reasoned award or decision. (b) Understanding of the law (relevant to your practice area) or recognised equivalent. (c) Experience of writing directions and final, reasoned awards or decisions/experience writing mediation agreements, heads of agreements, or memorandums of understanding (or as appropriate to your practice area). *

Yes No, I am applying under 'Route 2 - Qualifications' Yes & I also meet the requirements for the Qualifications

Please confirm how you meet the following: 'Successful completion and acceptable pass of an accredited course or training module on a subject relating to dispute avoidance and resolution' (Please include the organisation and name of the course/module) *

If one of our members recommended you to join please provide their name: *

Academic Qualifications: *

Other (relevant) Academic Qualifications: *

Primary Professional Qualifications: *

Please give details of any other languages in which you are fluent: *

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) *

Background information summary: This will appear on your public profile *

CV* *

Max file size: 20MB

LinkedIn Profile* *

Additional Upload File* *

Max file size: 20MB

*Please attach a copy of your CV and/or Linked profile address.

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

Are you currently on any other panels ? *

Do you have experience of Online Dispute Resolution: *

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. *

I would like a dedicated digital industry profile which will be available in search engines. *

Yes*** No No - But I am happy to have my LinkedIn profile attached instead. Not yet - I would like think about this further.

I declare that the information I have provided on this application form is true and accurate ('Fellow Prime Dispute - FPD' Member). 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 and understand a biennial fee is attached to this membership (£499 - covers you for two years). *

Yes

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

Name *

First

Last

Date *

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

Please note: 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 £499, (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 UK 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). *

Submit

CONTACT US | JOIN PRIME DISPUTE

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.

Our Vision & Mission

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Terms & Conditions | User Agreement | Business Ethics and Conflict of Interests Policy

Please email all correspondence to contact@primedispute.com

71-75, Shelton Street, Covent Garden, London, WC2H 9JQ, United Kingdom

Fellow Prime Dispute (fpd) Application Form

Fellow Prime Dispute
(fpd)
Application Form