I understand the Nairobi Centre for International Arbitration does not
provide employment for any Mediator. I also understand the decision to
nominate or appoint a Mediator or Mediators to any Mediation referred to
Nairobi Centre for International Arbitration is within the exclusive
discretion of the Nairobi Centre for International Arbitration.
I hereby declare that the information provided herein is complete and
accurate. I understand that a false statement may disqualify my application
from consideration and I hereby give my consent to a personal investigation
in connection with this application for NCIA Mediator Panel Status.
I agree, if accredited to NCIA Mediator Panel Status, to be bound by the
terms and conditions applicable to NCIA Mediator Panel Status and to comply
with the Mediator Panel Status Standard, the NCIA Code of Conduct for
Mediators, Nairobi Centre for International Arbitration (Mediation) Rules,
2015 or there amendments or alterations from time to time and any other
professional or legal requirement to which I am subject.
Check this box if you agree with all the