Here you can dwonload the Declaration of independence

To the CEPANI Secretariat
Rue des Sols, 8
B-1000 Brussels

File: ...

DECLARATION OF ACCEPTANCE , AVAILABILITY AND INDEPENDENCE BY THE THIRD PARTY DECIDER

I the undersigned,

Surname: ............................First name: ..............................

1. ACCEPTANCE
O Accept the mission in accordance with the CEPANI Rules 2013.

2. AVAILABILITY
O Confirm, on the basis of the information presently available to me, that I can devote the time necessary to conduct these proceedings diligently, efficiently and in accordance with the time limits in the Rules.

3. INDEPENDENCE
O declare that I am fully independent of:

O the parties

O their legal counsel

O draw CEPANI's attention to the following facts and circumstances that could lead any of the parties to doubt my independence (use a separate sheet if necessary).

* * *

O declare that I shall abide by the "Rules of good conduct for procedures requiring the intervention of CEPANI" enclosed as Schedule III to the CEPANI Rules.

Done at .............................., on ......................................

Signature: