Here you can download the declaration of independence of the Chairman of the Mini-trial Committee

CEPANI SECRETARIAT
RUE DES SOLS, 8
B-1000 BRUSSELS
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Arbitration n°

DECLARATION OF INDEPENDENCE OF THE CHAIRMAN OF THE MINI-TRIAL COMMITTEE(*)

The undersigned,

Name :..............................................................First name : ...................................................


? declare that I shall abide by the “Rules of good conduct for procedures requiring the intervention of CEPANI” enclosed as Annex II to the CEPANI Rules.

? declare that I am fully independent of:

? the parties
? their legal counsel

? 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).

Done at.............................., the ........................................

Signature :


Name:

* Please check of the appropriate box.