I consent to ICAMEK using any of my personal information that I may have provided in this application for the processing of my application, background and reference checks, for the purposes of future appointments (if any) in any mediation handled by ICAMEK and for the listing of my curriculum vitae on ICAMEK's website. Should my application be successful, i consent to ICAMEK's provision of my personal information to third parties when requested to do so in connection with such purposes

I understand that ICAMEK does not provide employment for any Mediator. I also understand the decision to nominate or appoint a Mediator(s) to any Mediation referred to ICAMEK is within the exclusive discretion of ICAMEK

I hereby declare that the information provided herein is complete and accurate. I understand that a false statement may disqualify my application from consideration and I hereby give my consent to a personal investigation in connection with this application for ICAMEK Panel of Mediators

I agree, if admitted to ICAMEK Panel of Mediators, to be bound the ICAMEK Code of Conduct for Mediators, ICAMEK(Mediation) Rules, 2018 or there amendments or alterations from time to time and any other professional or legal requirement to which I am subject.