MTI EAST AFRICA MEDIATION CENTRE

MEDIATION REQUEST FORM

Please Read 

  1. Parties who wish to apply for mediation under MTI EA Mediation Centre Rules must complete this Request for Mediation form.
  2. Please copy all the relevant parties to the dispute when sending the Request for Mediation to MTI East Africa.

Fee

  1. Please note that the non-refundable filing fee of Kshs 50,000 (inclusive of VAT) per party will be payable within three (3)working days after MTI East Africa acknowledges the receipt of this Request.
  2. MTI EA will process this request upon full payment of the filing fee

Details of Parties 

Note; Where there are more than 2 parties, please provide the details for them in a separate Attachment

Applicants

Respondents

Details of Dispute

Available Dates for Mediation

Please provide a few available dates - if possible, mutually agreed dates

Mediator Preferences

(Please note that when parties choose their own mediator, the selected Mediator(s) is/are entitled to charge his/her commercial rates. MTI E.A 's published Fee Schedule will not be applicable)

Signature

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