华南国际经济贸易仲裁成员会.pdf

深圳国际仲裁院候选仲裁员、调解员申请表SCIA Application Form for Panel Arbitrator&MediatorCandidate填写须知1、此表可电脑填录，并以电子邮件方式提交；2、中国籍候选仲裁员和调解员请用中英文填写；外籍候选仲裁员和调解员，请用英文填写（如能附中文，则请附中文）；3、除非有特别说明，表中每项内容均为必填项目。4、表中带*部分的内容，将会向社会公开。Notice1、Please complete this form electronically and feedback to usby e-mail.2、Chinese arbitrator&mediator candidates complete thisform in both Chinese and English while foreign arbitrator&mediator candidates in English(please attach Chinese versionif possible).3、All items are required unless otherwise indicated.4、Parts with*will be available for public.姓名姓名GivennameFamilyFull NameName 男Male性别 女FemaleSexBirth身份证号ID NumberNationality最高学历居住地HighestCityofEducationalResidenceLevel 教学研究(Teaching and Research)律师(Lawyer)职业分类 商会(Chamber of Commerce)Occupation 公司企业(Enterprise)Classificatio 退休法官(Retired Judge)n 政府机构(Government Official)其他 Others：_现任职务、工作机构PresentQualificationOccupation职称国籍Date of出生日期（年/月/日）（DD/MM/YY）PositionandEmployer通讯地址MailAddress电子信箱EmailAddress手机MobilePhoneNumber教育背景Education工作经历ProfessionalExperience电话、传真Telephone/Fax仲 裁 或 调解工作经历ArbitrationorMediation比如：曾于何时起受聘为华南国仲或其他仲裁机构的仲裁员，以及作为仲裁员或者代理人参加仲裁案件审理的情况或者在仲裁领域科研成果。Such as the period of inclusion on the panel of SCIA or other arbitrationExperienceinstitutions,experienceinarbitration/mediationcasesascounselorarbitrator/mediator,any academic achievements in arbitration/mediation,etc.业务专长Professional请用简洁词语描述并按优先顺序排列，前4 项专长内容将印刷在仲裁员名册上。SpecialtyPlease use Key words and rank them according to capability.The first 4 willbe published in Panel of Arbitrators.工作语言WorkingLanguage主 要 业 务成果MainProfessionalAchievements