International Professional Mediation Assessor Training Course  (Nov 2020)- Application Form
Course Code: (Edu02-04H-1120)

Duration: 18 hours
Date: 11, 12, 18, 19, 25 & 27 November 2020
Time: 7pm - 10pm
Location: Room 506, 5/F, West Wing, Justice Place, 11 Ice House Street, Central, Hong Kong
Medium: Cantonese, supplemented with English
Fee: HKD$9,000

Application Deadline: 3 November 2020 12:00 Noon (Confirmation will be sent out no later than 4/11/2020)

Application procedures:
1. Please complete and submit this online application form;
2. Please submit the Registration of Interest (will be sent to you by the secretariat after submitting this form); and  
3. Please settle the course fee by either cross-cheque or bank transfer before the deadline.

Payment method:
1. Crossed cheque
 - Cheque should be made payable to “Academy of Intl Dispute Resolution & Professional Negotiation Ltd.”
 - Please write down your full name and contact number, and label the course title on the back of the cheque.
 - Submit your cheque to Room 506, 5/F, West Wing, Justice Place, 11 Ice House Street, Central, Hong Kong

2. Bank Transfer

 - Please provide the Bank-in Slip and state your full name, contact number, and the course title.
 - Bank Name: Academy of Intl Dispute Resolution & Professional Negotiation Ltd
 - Bank Account: BANK OF CHINA (Hong Kong) LIMITED (012-704-2-005666-9)

Please refer to https://aidrn.org/training-en/advanced-professional-training/int-med-assessor-training-en/ for more details


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Name in Chinese *
(Must be the same as shown on HKID Card)
Name in English *
(Must be the same as shown on HKID Card)
Other Name
(e.g. John)
International Accredited Professional Mediator Number of IDRRMI / MHJMC (if applicable)
(e.g. IAPM9999)
Accredited Mediator Number of HKMC (if applicable)
(e.g. AM9999)
Contact Number *
Email Address *
(Confirmation email will only be sent to this email address)
Correspondence Address *
(Certificate will only be sent to this correspondence address)
Payment Methods *
Remarks
Terms and Conditions
A. Selection will be made on the basis of applicants' mediation experience and relevant training experience.

B. Registration must be made by returning the completed online application form via google link and sending Registration of Interest and the crossed-cheque or copy of bank-in slip to Academy of International Dispute Resolution & Professional Negotiation (AIDRN) on or before 3 November 2020, 12:00 noon. Confirmation will be notified by email upon successful application on or before 4 November 2020. No refund will be arranged at all circumstances after 4 November 2020.

C. If you do not receive an email confirmation from the Secretariat after 4 November 2020, your name will be wait-listed. Your submitted cheque will be voided subsequently by the Secretariat if you have not been assigned a place in the captioned course or if your course fee was made by bank transfer, a cheque will be issued to you as the payment refund.

D.  Participants must sign in and sign out. Participants who are late for more than 20 minutes or leave earlier of each session will not be qualified for the completion of IDRRMI's & HKMC's CPD Points in the respective session.

E. If you are not able to attend the captioned course after the receipt of the confirmation email, you are required to inform the Secretariat as soon as you are aware of unavailability on/ before the course date by email. No refund will be made after confirmation.

F. The assessment session may be video recorded for the sole use of performance evaluation.

G. If typhoon signal no. 8 or above or black rainstorm warning signals are hoisted and not lowered by 2 hours before the lesson start, the lesson will be postponed or cancelled. Rescheduled date/ time/ venue will be announced in due course.

H. In case of any disputes, AIDRN reserves the right to make final decisions.

I. The course is subject to change at any time without liability.
Personal Information Collection Statement
1. Personal data provided in this enrolment form will be used for the admission process. However, failure to provide such data may impede the enrolment process and communication with the applicant. All such data will be destroyed should the enrolment be unsuccessful.

2. The personal data provided in this form will be used by AIDRN staff for delivering latest information including any events and courses to be held, discount, benefits and services offers. These personal data will not be transferred to other external parties for purposes as stated above.

3. Under the provisions of the Personal Data (Privacy) Ordinance, applicants have the right to request access to and correction of their personal data. Applicants wishing to access or make corrections to their data should submit written requests to Academy of International Dispute Resolution & Professional Negotiation.

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