{"id":3470,"date":"2022-05-27T06:33:44","date_gmt":"2022-05-27T06:33:44","guid":{"rendered":"https:\/\/icamek.org\/?page_id=3470"},"modified":"2022-05-27T06:36:57","modified_gmt":"2022-05-27T06:36:57","slug":"arbitrator-panel-application-orm","status":"publish","type":"page","link":"https:\/\/icamek.org\/index.php\/arbitrator-panel-application-orm\/","title":{"rendered":"Arbitrator Panel Application Form"},"content":{"rendered":"<p>[vc_row][vc_column][vc_column_text]<div class='fluentform fluentform_wrapper_3'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><input type='hidden' name='__fluent_form_embded_post_id' value='3470' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"aac66efc9d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/3470\" \/><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_1\" ><h3 class='ff-el-section-title'>Particulars of the Applicant<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label >Please select the appropriate category:<\/label> <\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=category_c71cb9246e4a7c6ae8059bebc47d6846><input type=\"radio\" name=\"category\" data-name=\"category\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Domestic Arbitration Panel\"  id='category_c71cb9246e4a7c6ae8059bebc47d6846'> <span>Domestic Arbitration Panel<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=category_50b3d65efbbfce38948049dc99491734><input type=\"radio\" name=\"category\" data-name=\"category\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"International Arbitration Panel\"  id='category_50b3d65efbbfce38948049dc99491734'> <span>International Arbitration Panel<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=category_0173603fd640bbf47cca07798c5d335b><input type=\"radio\" name=\"category\" data-name=\"category\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Both\"  id='category_0173603fd640bbf47cca07798c5d335b'> <span>Both<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_3_image-upload_1'>Affix Photo<\/label> <\/div><div class='ff-el-input--content'><label for='ff_3_image-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn'>Choose File<\/span> <input type=\"file\" name=\"image-upload\" id=\"ff_3_image-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" accept=\"image\/*\" data-name=\"image-upload\" multiple=\"1\" ><\/label><\/div><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_3_names_first_name_'>First Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_3_names_first_name_\" class=\"ff-el-form-control\" ><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_3_names_last_name_'>Last Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_3_names_last_name_\" class=\"ff-el-form-control\" ><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_3_nationality'>Nationality<\/label> <\/div><div class='ff-el-input--content'><select name=\"nationality\" id=\"ff_3_nationality\" class=\"ff-el-form-control\" data-name=\"nationality\" ><option value=''><\/option><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='PW' >Belau<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='CV' >Cape Verde<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo (Brazzaville)<\/option><option value='CD' >Congo (Kinshasa)<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura&ccedil;ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MK' >Macedonia<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >Reunion<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='ST' >S&atilde;o Tom&eacute; and Pr&iacute;ncipe<\/option><option value='BL' >Saint Barth&eacute;lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SZ' >Swaziland<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >Turkey<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_3_personal_email'>Personal Email<\/label> <\/div><div class='ff-el-input--content'><input type=\"email\" name=\"personal_email\" id=\"ff_3_personal_email\" class=\"ff-el-form-control\" data-name=\"personal_email\" ><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_2\" ><h3 class='ff-el-section-title'>Occupational Details of the Applicant<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_firm'>Place of work<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"firm\" class=\"ff-el-form-control\" data-name=\"firm\" id=\"ff_3_firm\" ><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"postal_address\" ><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_postal_address_address_line_1_'>Postal Address<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"postal_address[address_line_1]\" id=\"ff_3_postal_address_address_line_1_\" class=\"ff-el-form-control\" data-key_name=\"address_line_1\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_postal_address_city_'>City<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"postal_address[city]\" id=\"ff_3_postal_address_city_\" class=\"ff-el-form-control\" data-key_name=\"city\" ><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_postal_address_country_'>Country<\/label> <\/div><div class='ff-el-input--content'><select name=\"postal_address[country]\" id=\"ff_3_postal_address_country_\" class=\"ff-el-form-control\" data-key_name=\"country\" ><option value=''><\/option><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='PW' >Belau<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='CV' >Cape Verde<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo (Brazzaville)<\/option><option value='CD' >Congo (Kinshasa)<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura&ccedil;ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MK' >Macedonia<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >Reunion<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='ST' >S&atilde;o Tom&eacute; and Pr&iacute;ncipe<\/option><option value='BL' >Saint Barth&eacute;lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SZ' >Swaziland<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >Turkey<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_work_email'>Work Email<\/label> <\/div><div class='ff-el-input--content'><input type=\"email\" name=\"work_email\" id=\"ff_3_work_email\" class=\"ff-el-form-control\" data-name=\"work_email\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_input_text'>Office Line<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"Please insert the office contact\" data-name=\"input_text\" id=\"ff_3_input_text\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_input_text_1'>Primary Occupation<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_3_input_text_1\" ><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_3\" ><h3 class='ff-el-section-title'>Education<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1'><div data-type=\"repeat-element\" data-name=\"input_repeat\" class=\"ff-el-repeat js-repeat\" ><div class='ff-el-input--label ff-el-is-required'><label>Degree \/ Certificate (s)<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"input_repeat[0][]\" class=\"ff-el-form-control\" id=\"ff_3_input_repeat_0___\" ><\/div><\/div><\/div><\/div><div style=\"margin-top: 30px;\" class=\"ff-el-repeat-buttons-list js-repeat-buttons\"><div style=\"margin: 28px 0px;\" class=\"ff-el-repeat-buttons\"><span class=\"repeat-plus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span class=\"repeat-minus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2'><div data-type=\"repeat-element\" data-name=\"year_awarded\" class=\"ff-el-repeat js-repeat\" ><div class='ff-el-input--label ff-el-is-required'><label>Year Awarded<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"year_awarded[0][]\" class=\"ff-el-form-control\" id=\"ff_3_year_awarded_0___\" ><\/div><\/div><\/div><\/div><div style=\"margin-top: 30px;\" class=\"ff-el-repeat-buttons-list js-repeat-buttons\"><div style=\"margin: 28px 0px;\" class=\"ff-el-repeat-buttons\"><span class=\"repeat-plus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span class=\"repeat-minus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3'><div data-type=\"repeat-element\" data-name=\"institution\" class=\"ff-el-repeat js-repeat\" ><div class='ff-el-input--label ff-el-is-required'><label>Institution<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"institution[0][]\" class=\"ff-el-form-control\" id=\"ff_3_institution_0___\" ><\/div><\/div><\/div><\/div><div style=\"margin-top: 30px;\" class=\"ff-el-repeat-buttons-list js-repeat-buttons\"><div style=\"margin: 28px 0px;\" class=\"ff-el-repeat-buttons\"><span class=\"repeat-plus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span class=\"repeat-minus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_3_certificates_1'>Please attach copies of certificates<\/label> <\/div><div class='ff-el-input--content'><label for='ff_3_certificates_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn'>Choose File<\/span> <input type=\"file\" name=\"certificates\" id=\"ff_3_certificates_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"certificates\" multiple=\"1\" ><\/label><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_description'>Describe the training and qualifications attained <\/label> <\/div><div class='ff-el-input--content'><textarea name=\"description\" id=\"ff_3_description\" class=\"ff-el-form-control\" rows=\"4\" cols=\"1\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_file-upload_1'>Attach Proof of training<\/label> <\/div><div class='ff-el-input--content'><label for='ff_3_file-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn'>Choose File<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_3_file-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\" ><\/label><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label >Have you been involved in arbitration as:<\/label> <\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=arbitration_involvement_c15ebf5061b546b417d818613f13d261><input type=\"radio\" name=\"arbitration_involvement\" data-name=\"arbitration_involvement\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Facilitator\"  id='arbitration_involvement_c15ebf5061b546b417d818613f13d261'> <span>Facilitator<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=arbitration_involvement_74e1567e50c662675529759025426fc5><input type=\"radio\" name=\"arbitration_involvement\" data-name=\"arbitration_involvement\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Trainer\"  id='arbitration_involvement_74e1567e50c662675529759025426fc5'> <span>Trainer<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=arbitration_involvement_65a8d800160065b8e0c6dd53eca0a5df><input type=\"radio\" name=\"arbitration_involvement\" data-name=\"arbitration_involvement\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Instructor\"  id='arbitration_involvement_65a8d800160065b8e0c6dd53eca0a5df'> <span>Instructor<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=arbitration_involvement_7eeb35f469d6a3b9e2f3d79d652a697f><input type=\"radio\" name=\"arbitration_involvement\" data-name=\"arbitration_involvement\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Other\"  id='arbitration_involvement_7eeb35f469d6a3b9e2f3d79d652a697f'> <span>Other<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_other_one'>If Other, please specify<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"other_one\" class=\"ff-el-form-control\" data-name=\"other_one\" id=\"ff_3_other_one\" ><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_4\" ><h3 class='ff-el-section-title'>Arbitration Experience<\/h3><div class='ff-section_break_desk'>Indicate the number of arbitration if you any you have acted in the areas below\n<br> <br> As a sole Arbitrator<\/div><hr \/><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field'>Commercial<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field\" id=\"ff_3_numeric-field\" class=\"ff-el-form-control\" data-name=\"numeric-field\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_input_text_2'>Other (Specify)<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" data-name=\"input_text_2\" id=\"ff_3_input_text_2\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_1'>Construction<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_1\" id=\"ff_3_numeric-field_1\" class=\"ff-el-form-control\" data-name=\"numeric-field_1\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_2'>Investor \/ state<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_2\" id=\"ff_3_numeric-field_2\" class=\"ff-el-form-control\" data-name=\"numeric-field_2\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_5\" ><h3 class='ff-el-section-title'>As a member Arbitrator<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_3'>Commercial<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_3\" id=\"ff_3_numeric-field_3\" class=\"ff-el-form-control\" data-name=\"numeric-field_3\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_input_text_3'>Other (Specify)<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" data-name=\"input_text_3\" id=\"ff_3_input_text_3\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_4'>Construction<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_4\" id=\"ff_3_numeric-field_4\" class=\"ff-el-form-control\" data-name=\"numeric-field_4\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_5'>Investor \/ state<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_5\" id=\"ff_3_numeric-field_5\" class=\"ff-el-form-control\" data-name=\"numeric-field_5\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_6\" ><h3 class='ff-el-section-title'>On a panel<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_7'>Commercial<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_7\" id=\"ff_3_numeric-field_7\" class=\"ff-el-form-control\" data-name=\"numeric-field_7\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_input_text_4'>Other (Specify)<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_4\" class=\"ff-el-form-control\" data-name=\"input_text_4\" id=\"ff_3_input_text_4\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_8'>Construction<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_8\" id=\"ff_3_numeric-field_8\" class=\"ff-el-form-control\" data-name=\"numeric-field_8\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_9'>Investor \/ state<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_9\" id=\"ff_3_numeric-field_9\" class=\"ff-el-form-control\" data-name=\"numeric-field_9\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_7\" ><h3 class='ff-el-section-title'>As a Counsel Agent<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_10'>Commercial<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_10\" id=\"ff_3_numeric-field_10\" class=\"ff-el-form-control\" data-name=\"numeric-field_10\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_input_text_5'>Other (Specify)<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_5\" class=\"ff-el-form-control\" data-name=\"input_text_5\" id=\"ff_3_input_text_5\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_11'>Construction<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_11\" id=\"ff_3_numeric-field_11\" class=\"ff-el-form-control\" data-name=\"numeric-field_11\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_12'>Investor \/ state<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_12\" id=\"ff_3_numeric-field_12\" class=\"ff-el-form-control\" data-name=\"numeric-field_12\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_8\" ><h3 class='ff-el-section-title'> Provide a brief outline \/ profile of disputes you have handled as an arbitrator<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1'><div data-type=\"repeat-element\" data-name=\"dispute\" class=\"ff-el-repeat js-repeat\" ><div class='ff-el-input--label'><label>Type of Dispute (e.g Breach of Contract)<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"dispute[0][]\" class=\"ff-el-form-control\" id=\"ff_3_dispute_0___\" ><\/div><\/div><\/div><\/div><div style=\"margin-top: 30px;\" class=\"ff-el-repeat-buttons-list js-repeat-buttons\"><div style=\"margin: 28px 0px;\" class=\"ff-el-repeat-buttons\"><span class=\"repeat-plus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span class=\"repeat-minus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2'><div data-type=\"repeat-element\" data-name=\"issues\" class=\"ff-el-repeat js-repeat\" ><div class='ff-el-input--label'><label>issues and Nature of Evidence<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"issues[0][]\" class=\"ff-el-form-control\" id=\"ff_3_issues_0___\" ><\/div><\/div><\/div><\/div><div style=\"margin-top: 30px;\" class=\"ff-el-repeat-buttons-list js-repeat-buttons\"><div style=\"margin: 28px 0px;\" class=\"ff-el-repeat-buttons\"><span class=\"repeat-plus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span class=\"repeat-minus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3'><div data-type=\"repeat-element\" data-name=\"duration\" class=\"ff-el-repeat js-repeat\" ><div class='ff-el-input--label'><label>Duration and value of dispute<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"duration[0][]\" class=\"ff-el-form-control\" id=\"ff_3_duration_0___\" ><\/div><\/div><\/div><\/div><div style=\"margin-top: 30px;\" class=\"ff-el-repeat-buttons-list js-repeat-buttons\"><div style=\"margin: 28px 0px;\" class=\"ff-el-repeat-buttons\"><span class=\"repeat-plus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span class=\"repeat-minus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_numeric-field_6'>Number of years you have acted as an arbitrator?<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_6\" id=\"ff_3_numeric-field_6\" class=\"ff-el-form-control\" data-name=\"numeric-field_6\" inputmode=\"numeric\" step=\"any\" min=\"0\" max=\"100\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_3_cv_1'>Please attach a one-page resume \/ curriculum vitae \/ profile<\/label> <\/div><div class='ff-el-input--content'><label for='ff_3_cv_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn'>Choose File<\/span> <input type=\"file\" name=\"cv\" id=\"ff_3_cv_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"cv\" multiple=\"1\" ><\/label><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label >Are you a certified\/accredited Arbitrator or listed in the panel of any other arbitral\/Arbitration institution?<\/label> <\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=certified_04aa2c5ca7b656c145bf94193d2ed8c6><input type=\"radio\" name=\"certified\" data-name=\"certified\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='certified_04aa2c5ca7b656c145bf94193d2ed8c6'> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=certified_6a4680f3ee8a289b963b56f8f8817bfa><input type=\"radio\" name=\"certified\" data-name=\"certified\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='certified_6a4680f3ee8a289b963b56f8f8817bfa'> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_certified_specify'>If yes, please specify <\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"certified_specify\" class=\"ff-el-form-control\" data-name=\"certified_specify\" id=\"ff_3_certified_specify\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label >Is Arbitration currently your primary (full-time) practice?<\/label> <\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_d51a93c26218fccf59c69ace2f2fd81e><input type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_1_d51a93c26218fccf59c69ace2f2fd81e'> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_3e9b8fe1d24dde9c0ec3a816231f0000><input type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_1_3e9b8fe1d24dde9c0ec3a816231f0000'> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label >Are you willing to be appointed as an Emergency Arbitrator?<\/label> <\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=emergency_c9f1bf2ff009668f3a7db559439e9ef9><input type=\"radio\" name=\"emergency\" data-name=\"emergency\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='emergency_c9f1bf2ff009668f3a7db559439e9ef9'> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=emergency_c9af91383eb812b15f312aa945f3ab54><input type=\"radio\" name=\"emergency\" data-name=\"emergency\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='emergency_c9af91383eb812b15f312aa945f3ab54'> <span>No<\/span><\/label><\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"appointment_details\" ><div class='ff-el-input--label'><label>If yes, please provide details for appointment<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_appointment_details_address_line_1_'>Telephone<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"appointment_details[address_line_1]\" id=\"ff_3_appointment_details_address_line_1_\" class=\"ff-el-form-control\" data-key_name=\"address_line_1\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_appointment_details_address_line_2_'>Email Address<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"appointment_details[address_line_2]\" id=\"ff_3_appointment_details_address_line_2_\" class=\"ff-el-form-control\" data-key_name=\"address_line_2\" ><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_appointment_details_city_'>Physical Address<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"appointment_details[city]\" id=\"ff_3_appointment_details_city_\" class=\"ff-el-form-control\" data-key_name=\"city\" ><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_3_description_1'>What is your preferred area(s) of practice as an Arbitrator?<\/label> <\/div><div class='ff-el-input--content'><textarea name=\"description_1\" id=\"ff_3_description_1\" class=\"ff-el-form-control\" rows=\"4\" cols=\"1\" data-name=\"description_1\" ><\/textarea><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_9\" ><h3 class='ff-el-section-title'>Recommendation<\/h3><div class='ff-section_break_desk'>Please provide at least two references who attest to your arbitration experience<\/div><hr \/><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1'><div data-type=\"repeat-element\" data-name=\"input_repeat_1\" class=\"ff-el-repeat js-repeat\" ><div class='ff-el-input--label ff-el-is-required'><label>Name of Referee<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"input_repeat_1[0][]\" class=\"ff-el-form-control\" id=\"ff_3_input_repeat_1_0___\" ><\/div><\/div><\/div><\/div><div style=\"margin-top: 30px;\" class=\"ff-el-repeat-buttons-list js-repeat-buttons\"><div style=\"margin: 28px 0px;\" class=\"ff-el-repeat-buttons\"><span class=\"repeat-plus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span class=\"repeat-minus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2'><div data-type=\"repeat-element\" data-name=\"input_repeat_2\" class=\"ff-el-repeat js-repeat\" ><div class='ff-el-input--label ff-el-is-required'><label>contact<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"input_repeat_2[0][]\" class=\"ff-el-form-control\" id=\"ff_3_input_repeat_2_0___\" ><\/div><\/div><\/div><\/div><div style=\"margin-top: 30px;\" class=\"ff-el-repeat-buttons-list js-repeat-buttons\"><div style=\"margin: 28px 0px;\" class=\"ff-el-repeat-buttons\"><span class=\"repeat-plus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span class=\"repeat-minus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3'><div data-type=\"repeat-element\" data-name=\"input_repeat_3\" class=\"ff-el-repeat js-repeat\" ><div class='ff-el-input--label'><label>Email Address<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"input_repeat_3[0][]\" class=\"ff-el-form-control\" id=\"ff_3_input_repeat_3_0___\" ><\/div><\/div><\/div><\/div><div style=\"margin-top: 30px;\" class=\"ff-el-repeat-buttons-list js-repeat-buttons\"><div style=\"margin: 28px 0px;\" class=\"ff-el-repeat-buttons\"><span class=\"repeat-plus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span class=\"repeat-minus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_10\" ><h3 class='ff-el-section-title'>Declaration<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_5d6a94105d1985e9e31739b3723b1d94><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition\" id=\"terms-n-condition_5d6a94105d1985e9e31739b3723b1d94\"  value='on'><\/span> <div class='ff_t_c'>I consent to ICAMEK using any of my personal information that I may have provided in this application for the processing of my application, background and reference checks, for the purposes of future appointments (if any) in any arbitration handled by ICAMEK and for the listing of my curriculum vitae on ICAMEK's website. Should my application be successful, i consent to ICAMEK's provision of my personal information to third parties when requested to do so in connection with such purposes<\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label class='ff-el-form-check-label ff_tc_label' for=gdpr-agreement_eecc8b2f6616f0f4d67dd0e11fef0068><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"gdpr-agreement\" class=\"ff-el-form-check-input\" data-name=\"gdpr-agreement\" id=\"gdpr-agreement_eecc8b2f6616f0f4d67dd0e11fef0068\"  value='on'><\/span> <div class='ff_t_c'>I understand that ICAMEK does not provide employment for any Arbitrator. I also understand the decision to nominate or appoint an Arbitrator or Arbitrators to any Arbitration referred to ICAMEK is within the exclusive discretion of the International Center of Arbitration and Mediation in Kampala.<\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label class='ff-el-form-check-label ff_tc_label' for=gdpr-agreement_1_250c44bf3b8f410e2859229ee8b7a4b7><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"gdpr-agreement_1\" class=\"ff-el-form-check-input\" data-name=\"gdpr-agreement_1\" id=\"gdpr-agreement_1_250c44bf3b8f410e2859229ee8b7a4b7\"  value='on'><\/span> <div class='ff_t_c'>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 ICAMEK Panel of Arbitrators<\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label class='ff-el-form-check-label ff_tc_label' for=gdpr-agreement_2_f181375b4880eba4b9616ae845b253f9><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"gdpr-agreement_2\" class=\"ff-el-form-check-input\" data-name=\"gdpr-agreement_2\" id=\"gdpr-agreement_2_f181375b4880eba4b9616ae845b253f9\"  value='on'><\/span> <div class='ff_t_c'>I  agree, if admitted to ICAMEK Panel of Arbitrators, to be bound the ICAMEK Code of Conduct for Arbitrators, ICAMEK(Arbitration) Rules, 2018 or there amendments or alterations from time to time and any other professional or legal requirement to which I am subject.\n\n<\/div><\/label><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Submit Form<\/button><\/div><\/form><div id='fluentform_3_errors' class='ff-errors-in-stack ff_form_instance_3_1 ff-form-loading_errors ff_form_instance_3_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_3_1 = {\"id\":\"3\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"asteriskPlacement\":\"asterisk-right\"},\"id\":\"3\",\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_3_1\",\"form_id_selector\":\"fluentform_3\",\"rules\":{\"category\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"image-upload\":{\"required\":{\"value\":true,\"message\":\"This field is required\"},\"max_file_size\":{\"value\":5242880,\"_valueFrom\":\"MB\",\"message\":\"Maximum file size limit\"},\"max_file_count\":{\"value\":1,\"message\":\"Max file count\"},\"allowed_image_types\":{\"value\":[\"jpg|jpeg\",\"png\",\"gif\"],\"message\":\"Allowed image size does not match\"}},\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"nationality\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"personal_email\":{\"required\":{\"value\":true,\"message\":\"This field is required\"},\"email\":{\"value\":true,\"message\":\"This field must contain a valid email\"}},\"firm\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"postal_address[address_line_1]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"postal_address[address_line_2]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"postal_address[city]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"postal_address[state]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"postal_address[zip]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"postal_address[country]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"work_email\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"email\":{\"value\":true,\"message\":\"This field must contain a valid email\"}},\"input_text\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"input_text_1\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"input_repeat[0]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"year_awarded[0]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"institution[0]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"certificates\":{\"required\":{\"value\":true,\"message\":\"This field is required\"},\"max_file_size\":{\"value\":20971520,\"_valueFrom\":\"MB\",\"message\":\"Maximum file size limit\"},\"max_file_count\":{\"value\":1,\"message\":\"Max file count\"},\"allowed_file_types\":{\"value\":[\"pdf\",\"doc|ppt|pps|xls|mdb|docx|xlsx|pptx|odt|odp|ods|odg|odc|odb|odf|rtf|txt\",\"zip|gz|gzip|rar|7z\"],\"message\":\"allowed_file_types\"}},\"description\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"file-upload\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"max_file_size\":{\"value\":20971520,\"_valueFrom\":\"MB\",\"message\":\"Maximum file size limit\"},\"max_file_count\":{\"value\":1,\"message\":\"Max file count\"},\"allowed_file_types\":{\"value\":[\"pdf\",\"doc|ppt|pps|xls|mdb|docx|xlsx|pptx|odt|odp|ods|odg|odc|odb|odf|rtf|txt\",\"zip|gz|gzip|rar|7z\"],\"message\":\"allowed_file_types\"}},\"arbitration_involvement\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"other_one\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"numeric-field\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"input_text_2\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"numeric-field_1\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"numeric-field_2\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"numeric-field_3\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"input_text_3\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"numeric-field_4\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"numeric-field_5\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"numeric-field_7\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"input_text_4\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"numeric-field_8\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"numeric-field_9\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"numeric-field_10\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"input_text_5\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"numeric-field_11\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"numeric-field_12\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"dispute[0]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"issues[0]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"duration[0]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"numeric-field_6\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"0\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"100\",\"message\":\"Maximum value is \"}},\"cv\":{\"required\":{\"value\":true,\"message\":\"This field is required\"},\"max_file_size\":{\"value\":20971520,\"_valueFrom\":\"MB\",\"message\":\"Maximum file size limit\"},\"max_file_count\":{\"value\":1,\"message\":\"Max file count\"},\"allowed_file_types\":{\"value\":[\"pdf\",\"doc|ppt|pps|xls|mdb|docx|xlsx|pptx|odt|odp|ods|odg|odc|odb|odf|rtf|txt\",\"zip|gz|gzip|rar|7z\"],\"message\":\"allowed_file_types\"}},\"certified\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"certified_specify\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"input_radio_1\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"emergency\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"appointment_details[address_line_1]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"appointment_details[address_line_2]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"appointment_details[city]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"appointment_details[state]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"appointment_details[zip]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"appointment_details[country]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"description_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_repeat_1[0]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_repeat_2[0]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_repeat_3[0]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"terms-n-condition\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"gdpr-agreement\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"gdpr-agreement_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"gdpr-agreement_2\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}}}};\n                    <\/script>\n        [\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3470","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/icamek.org\/index.php\/wp-json\/wp\/v2\/pages\/3470","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/icamek.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/icamek.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/icamek.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/icamek.org\/index.php\/wp-json\/wp\/v2\/comments?post=3470"}],"version-history":[{"count":4,"href":"https:\/\/icamek.org\/index.php\/wp-json\/wp\/v2\/pages\/3470\/revisions"}],"predecessor-version":[{"id":3476,"href":"https:\/\/icamek.org\/index.php\/wp-json\/wp\/v2\/pages\/3470\/revisions\/3476"}],"wp:attachment":[{"href":"https:\/\/icamek.org\/index.php\/wp-json\/wp\/v2\/media?parent=3470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}