Kindly please complete the form below to register for this year's Competition, or alternatively, please click here to download a soft copy of our application form and email us the completed version at iccmediationcomphk@gmail. Thank you.

Name*

Surname*

Email*

Nationality/ies* Please enter all your nationalities

Phone* Please indicate the telephone number you can be joined at before the Competition (including country code).

Mobile phone* The number under which you can be reached during the Competition, Including country code for example +33

University studies and institution in which you completed the studies Please indicate degree and institution

Academic degree(s) and institution in which you obtained the degree

Current professional activity/ies and position(s) For example Lawyer, Partner at Freshgreen etc.

Mediation Training Please indicate the name of the institution or organization in which you have obtained the qualification and the hours spent in training.

Mediation Accreditation(s) Please indicate the name of the institution or organization in which you have obtained the accreditation.

Referees Please name at least two referees, who can comment on your mediation training, skills, style and experience, including their contact e-mail or phone.

Please indicate if you have experience as a mediation trainer* If yes, please specify.

Please indicate if you have other experience as a trainer* If yes, please specify. For example: Negotiation.

Please indicate if you have experience evaluating the performance of students* If yes, please specify.

In how many domestic commercial cases have you acted as mediator?* Please also define the hours spent in the mediation(s)

In how many domestic commercial cases have you acted as co-mediator?*

In how many domestic commercial cases have you acted as counsel?*

In how many international commercial cases have you acted as mediator?*

In how many international commercial cases have you acted as co-mediator?*

In how many international commercial cases have you acted as counsel?*

In how many international non-commercial cases have you acted as mediator?*

In how many international non-commercial cases have you acted as co-mediator?*

In how many international non-commercial cases have you acted as counsel?*

Have you previously participated in the ICC International Commercial Mediation Competition?* If yes, please specify (e.g. 2013).

Have you participated in other competitions or moots before? Please indicate yes or no. If yes, please specify.

Jurisdiction* If you are a lawyer, please indicate if you are trained in Common or Civil Law.

Preference towards role within the Competition Please indicate whether you would prefer to act as mediator or judge or both during the Competition. Please note that this indication will be taken into consideration by the Organizing Committee solely as a preference.

Please indicate the exact name, profession and home country to be referred to in the Competition materials* For example: Ms. Lotta Müller, Mediator and Lawyer, Austria.

Please indicate your availabilities for the Competition*

I confirm that* I have read and understand the Rules. I will inform the organisers of any changes to my availability.

Mediators & Judges Registration

Adult Account Holder

Early-bird registrations extended to 30 September!