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Application for Arbitration
(Date)
To: Japan Intellectual Property Arbitration Center
1.
Applicant
Domicile (Residence):
Telephone Number:
Fax Number:
E-mail Address:
Name (Title):
(Representative)
Seal
(Note 1)
2.
Agent for Applicant
(Note 2)
Domicile (Residence):
Telephone Number:
Fax Number:
E-mail Address:
Name
3.
Respondent
Domicile (Residence):
Telephone Number:
Fax Number:
(Note 3)
E-mail Address:
Name (Title):
(Representative)
(Note 4)
4.
Gist of the Application
(Note 5)
5.
Grounds for the Application
(Note 6)
6.
Existence of the Arbitral Agreement
(Note 7)
7.
List of Attached Documents and Objects
(Note 8)
Seal
(1)
Written Application for Arbitration
(2)
Documentary Evidence
(3)
Arbitral Agreement
four copies of duplicates
one copy,
four copies of duplicates (
Note 9)
one copy
(Note 10)
(4)
Certificate of Qualification
one copy each from applicant and respondent (two copies in total) (
Note 11)
(5)
Power of Attorney
(Note 1)
Where the applicant is a juridical person, the name of the person acting as its
representative shall be provided here.
Where there is an agent, the seal of
the applicant is not required.
(Note
2)
This
information
is
required
only
in
the
case
where
there
is
an
agent.
Contact information shall be provided.
(Note 3)
The r
espondent’s
telephone number, fax number, and e-mail address shall be
described insofar as the applicant has such knowledge.
(Note 4)
Where the respondent is a juridical person, the name of the person acting as
its representative shall be provided here.
(Note 5)
In the
“
Gist of the Application,
”
please provide the main text of the arbitral
award which the applicant seeks as an outcome of the arbitration.
(Example of Description)
(1)
“
The applicant hereby demands that as part of the arbitral award:
1.
The
respondent
shall
pay
to
the
applicant
yen
and
interest equivalent to X% per annum from (Date)
to the full
payment.
2.
The arbitral costs shall be borne by the respondent.
”
(2)
“
The applicant hereby demands that as part of the arbitral award:
1.
The respondent shall not manufacture or sell XXX described in the
list of products attached hereto.
2.
The respondent shall dispose of XXX and the half-finished products
thereof,
in
possession
of
the
respondent,
and
described
in
the
list
of
products attached hereto.
(Note
6)
In
the
“
Grounds
for
the
Application,
”
please
provide
the
facts
and
the
applicant
’
s allegations which provide grounds for the claims described in the
gist of the application section.
3.
The arbitral costs shall be borne by the respondent.
”
one copy
(Note 12)
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