Request an Arbitration Procedure Claimant Inform full qualification of at least one of the Claimants Name/Company Name Mandatory CNPJ / CPF / NIF (tax identification) Mandatory Address Mandatory Next Claimant's Council Fill data about Claimant's Council. Council(s) or Representative Mandatory Office(s) Optional Phone Mandatory Address To receive communication regarding the arbitration procedure. Mandatory E-mail Maximum of 10 e-mails per Applicant. Mandatory Previous Next Arbitration Procedure Fill information about arbitration procedure. Place of arbitration Indication or suggestion of the place of arbitration. Mandatory Language Indication or suggestion of the language adopted in this arbitration procedure. Mandatory Indication of an arbitrator if the parties had agreed to the composition of the Tribunal by three arbitrators, or other proposal, if there is no provision of the number of arbitrators in the arbitration agreement. Mandatory Subjects Select Business Agreements Stock Exchange Transactions Corporate Law Others Is there a foreign party involved in the procedure? Yes No Is there a Third-Party Funding Yes No Third-Party Funding Name Mandatory Address Mandatory Document Mandatory Would you like to keep the proceeding in secrecy? Yes No According to item 9.1. of CAM B3 Arbitration Rules. Previous Next Amount in dispute Amount in dispute (R$) Mandatory Payment slip amount Mandatory In accordance with item 8 of the CAM B3 Arbitrarion Rules, we kindly request to fill in the following information on behalf of the responsible for the bank slip payment (law firm, or Party) so we can register you and issue the payment slip(s) to file the procedure, as well as future slips regarding managemet and arbitrators fees. Responsible 1 Type Legal Entity Individual Company Name Mandatory Address Mandatory CNPJ Mandatory State Registration Mandatory Local Registration Mandatory Is it an investment fund? Yes No Is it a Public Entity? Yes No Name Mandatory CPF Mandatory Date of Birth Mandatory Address Mandatory Add Previous Next Success message Details
