For Corporate, provision of the particulars of the applicant (“Corporate Applicant”) and its Nominated Individual Member are mandatory for proceeding to the next stage of the application. Corporate Applicant should also ensure that disclosure of any personal information of the Nominated Individual Member are made only upon his/her informed consent.
Membership Application (Corporate):
|Name & Address of Company / Firm|
|Nature of Business|
|Name, Email & Job Position of Key Contact (if different from the Nominated Individual Member)|
|Email & Phone|
|Name & Nationality of the Nominated Individual Member|
|Email & Phone|
☐ We confirm our interest of joining ARIAS Asia as corporate member. We acknowledge that ARIAS Asia is a non-profit making association created for the purpose of promoting the use of alternative dispute resolution for resolving inconsistencies relating to insurance and reinsurance matters. By returning this signed application form and ticking the box herewith, we express our permission of letting ARIAS Asia to use the information disclosed herewith for communication, statistics and other activities for furtherance of the association’s purpose. We acknowledge that we have the absolute right to withdraw our permission by notifying ARIAS Asia.
☐ We prefer ARIAS Asia to organize training regarding:
☐ arbitration and mediation
☐ insurance and reinsurance
☐ others (please specify): _________________________________________________________________________________
☐ We prefer ARIAS Asia to organize the following social activities for the members.
- the activities we propose to have are: __________________________________________________________________
☐ We prefer ARIAS Asia to provide the following services:
- Please specify: ____________________________________________________________________________