Legal Matter Manager
Request for Arbitration Online Application (Domestic)
Email me a copy
matter
claimant
First Name(s)
Surname
Description (i.e. natural person, company, cc, etc)
-- Please select --
Close Corporation
Natural Person
Non-Profit Organisation
Partnership
Private Company
Public Company
State Department
State Owned Entity
Trust
Address Line 1
Address Line 2
Address Line 3
Postal Code
Telephone No (W)
Cell No
Email Address
VAT Number
claimant representative
Name
Surname
Address Line 1
Address Line 2
Address Line 3
Address Line 4
defendant
First Name(s)
Surname
Description (i.e. natural person, company, cc, etc)
-- Please select --
Close Corporation
Natural Person
Non-Profit Organisation
Partnership
Private Company
Public Company
State Department
State Owned Entity
Trust
Address Line 1
Address Line 2
Address Line 3
Postal Code
Telephone No (W)
Cell No
Email Address
VAT Number
defendants representative
Name
Surname
Address Line 1
Address Line 2
Address Line 3
Address Line 4
arbitration
Written Arbitration Agreement
Display as tickbox
Statement of Claim and Annexures
Display as tickbox
Claim Amount
Preferred Number of Arbitrators
-- Please select --
1
2
3
Include AFSA Appeal Procedure in Arbitration?
Requesting a Declaratory Award?
Contact with AFSA Case Manager?
-- Please select --
No, I have not spoken to an AFSA Case Manager
Yes, I spoke to an AFSA Case Manager
Case Manager Name (if applicable)
arbitrator
First Name(s)
Surname
Address Line 1
Address Line 2
Address Line 3
Postal Code
Telephone No (W)
Email Address
Occupation
system
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SYSTEM.Date_CurrentMonth
SYSTEM.Date_CurrentYear
