Online mediation service -

I. Parties to the dispute

1. Party requesting mediation (“Requesting Party”)

Company *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Email *

Enterprise registration certificate number *

Representative

Position

2. The other party 1 in the dispute (“The Other Party”)

Company

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Email *

Enterprise registration certificate number

Representative

Position

Are there other parties in this case?

II. Summary of the dispute

1. Description of the dispute

2. Determination of the value of the dispute (Value of the dispute is the highest value in the claims of the parties in the dispute)

III. Request of the Requesting Party

1. Request about the value of the dispute

2. Other requests

IV. Proposals of the Requesting Party

1. Time limits for conducting the mediation

2. Language of mediation

English
Vietnamese

3. Place of mediation

Head quarter of VICMC in Hanoi
VICMC Office in Hochiminh City
Another place

4. Calculation of mediation fees (The Requesting Party proposes the method for calculating mediation fees: in full cost/daily cost)

V. Proposal of Mediator

Proposal of Mediator

The Requesting Party can propose a Mediator of the Vietnam International Commercial Mediation Center ("VICMC") (or) The Requesting Party requests the Center to appoint a Mediator (the Requesting Party can set the criteria).

Including documentation

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