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Note: Each individual is responsible for ensuring that their information is accurate and up-to-date. It will be the responsibility of the candidate to ensure that all updates are made and contact information correct. We encourage individuals to update their profile as applicable to ensure the most current and relevant information. Please note that the information you submit is confidential and can only be accessed by you and select members of the USCIB staff. |
Personal Profile
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 Personal Information |
| First Name: |
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| Last Name: |
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| Date of Birth: |
(mm/dd/yyyy)
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Nationality:
To select more than one nationality, hold down the CTRL key while making additional selections |
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Company/Organization:
Please indicate Sfole Practitioner if you are not associated with a firm, company, etc. |
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| Address: |
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| Address2: |
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| State / Province:(if US resident) |
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| State / Province:(Non-US resident) |
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| Country of Residence: |
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| Postal Code: |
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| Telephone: |
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| Telefax: |
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| Email Address: |
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| Website: |
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Academic Qualifications and Experience |
| Academic Degrees / Qualifications: |
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| Professional Experience: |
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| Additional Information: |
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Marked Language(Mark, as appropriate, if you consider that you are able to conduct arbitration proceedings and to draft an award in the languages listed without the assistance of an interpreter or translator):
Please make sure Language Skill Level is specified (Basic is default)
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| Fields of Legal Expertise(Select all that apply including jurisdiction) |
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| Specialization(Select all that apply) |
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Bar Admission(United State):
To select more than one state, hold down the CTRL key while making additional selections |
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Bar Admission(International):
To select more than one state, hold down the CTRL key while making additional selections |
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Dispute Resolution Experience
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| Arbitration Experience |
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Number of arbitration cases in which you have acted as: |
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Chairman of Tribunal |
Sole Arbitrator |
Coarbitrator |
Party's Counsel |
Secretary or Other |
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International
Institutional Arbitration |
ICC |
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Other |
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International Ad Hoc Arbitration |
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Domestic Arbitration |
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Mediation
Experience
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Number of mediation cases in which you have acted as:
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Mediator |
Co-Mediator |
Party's Counsel |
Secretary or Other |
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International
Institutional Arbitration |
ICC |
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Other |
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International Ad Hoc Arbitration |
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Domestic Arbitration |
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Other Alternative Dispute Resolution Experience:
(Please specify: e.g.: Minitrial, Mediator, Expert): |
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| Please specify other locations willing to arbitrate / mediate at |
NO ADDITIONAL COST:
If applicable, please indicate city, state and country. |
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If you have questions regarding USCIB membership and would like information, please contact us.
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| USCIB regularly publishes newsletters in several topic areas. Would you like to be included on the following USCIB mailings? |
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| If you have a resume / CV, please take this opportunity to include your resume / CV for your file. We ask that you kindly limit your attachments to one document: |
| Select File to Upload |
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| Personal Profile Password |
Choose a Password:
You will use this information
to access your profile. |
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| Recalling Your Password |
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| If you forget your password or need help with your profile, you'll need to answer as specified here. |
| Your Answer: |
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