The Korea Commercial Arbitration Board

The Korea Commercial Arbitration Board
43RD.FLOOR. TRADE TOWER (KOREA WORLD TRADE CENTER)
159, SAMSUNG-DONG. KANGNAM-KU.SEOUL 138-789, KOREA
Trade Center P.O. Box 50, CABLE ARBITRATION
TEL : 5512000-19, FAX : (02)551-2020

To : THE Korean Commercial Arbitration Board

REQUEST FOR ARBITRATION
1. Full Names and Addresses of Parties:
(1) Claimant : Name of Corporation (1)
Address (2)
Name of Representative (3)
Name and Address of Agent, if any:
Name (4)
Address (5)

(2) Respondent : Name of Corporation (6)
Address (7)
Name of Representative (8)

2. Purport of Request (Claim or Relief sought ; amount , if any):
(9) As attached

3. Grounds for Request and Method of Proof : As attached
(10)
Signature / Name : (11)
Dated : (12)
Enclosures :1. Signed copies of this request for arbitration five copies
2. The original or certified copy of the document evidencing agreement on arbitration under the Rules of the Korean Commercial Arbitration Board five copies
3. The original or reproduced copy of documentary evidence, if any, proving the claim stated in this
Request for Arbitration five copies
4. Certificate of Incorporation one copies
5. A power of attorney, in case where the request is made by an agent one copies

[hwp/doc/pdf]The Korea Commercial Arbitration Board