Part B: Academic Qualifications
Part C: Answer the following queries
Part D: ADR Academic Profile
I hereby apply for membership of the Centre for International Alternative Dispute Resolution. If admitted, I agree to
comply with the code of professional and ethical conduct and by regulations made or to be made for carrying them into
I declare that to the best of my knowledge, the information given on this form is correct. I understand and agree that if I
make any false statements, submit false information or fail to disclose information requested in this application, I will be
subject to disciplinary action to the constitutional documents and code of ethics, as amended from time to time.
On admittance, I request that you issue me a Membership Certificate. I agree that the certificate will remain the property
of the Institute and will undertake to return it if I cease to be a member. I understand that I will be required to return my
Certificate of membership on cessation of membership
Please refer to the CiADR Ethics section online for more information.