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贸仲仲裁员登记表 APPLICATION Form of CIETAC Arbitrators Notice 1、Please complete this form in clear writing and with truthful information. 2、Chinese arbitrators complete this form in both Chinese and English while foreign arbitrators in English (please attach Chinese version if possible). 3、All items are required unless otherwise indicated. 4、Parts with * will be available for public. 5、Please send the completed form to mailbox: bradwang@cietac.org  姓名﹡ 照片 (Photo) Full Name 姓 名 Surname Given name 性别﹡ □ 男 □ 女 出生日期﹡ （年/月/日） Sex﹡ □Male□Female Date of Birth﹡ （DD/MM/YY） 身份证号 Photo ID Number 国籍﹡ Nationality﹡ 居住地﹡ 最高学历﹡ City of Residence﹡ Highest Educational Level﹡ 职业分类﹡ Occupation Classification﹡ □教学研究(Teaching and Research) 律师(Lawyer) 商会(Chamber of Commerce) 公司企业(Enterprise) 退休法官(Retired Judge) 政府机构(Government Official) 其他Others：_________ 职称﹡ Occupation Qualification﹡ 现任职务、工作单位及地址、邮编 Present Position/work address 常住地址、邮编 Permanent Address 有效通讯地址(邮寄有关通知、文件、案件材料等的地址) Valid Mail Address, For mail of documents 电子信箱 Email Address 家庭电话、传真Home Telephone Number, Fax Number 工作电话、传真Office Telephone Number, Fax Number 手机 Mobile Phone Number 教育背景﹡ Education﹡ 工作经历﹡ Professional Experience﹡ 仲裁相关工作经历﹡ Work Experience in Arbitration﹡ 比如：曾于何时起受聘为贸仲或其他仲裁委员会的仲裁员，以及作为仲裁员或者代理人参加仲裁案件审理的情况或者在仲裁领域科研成果。 Such as any experience in arbitration case as agent or arbitrator in CIETAC or other arbitration institutions or ad hoc arbitration, or any research achievements in arbitration. 社会团体兼职情况﹡ Social Occupation﹡ 业务专长﹡ Professional Specialty﹡ 请用简洁词语描述，并按优先顺序排列，前4项专长内容将印刷在仲裁员名册上。 Please use Key words and rank them according to capability. The first 4 will be published in Panel of Arbitrators. 工作语言﹡ Working Language﹡ 主要业务成果﹡ Main Professional Achievements﹡ 自我描述或评价﹡Self Description﹡ 请用简短的语言对自己的业务能力、专业背景、突出特点等予以概括。可不填。 Please describe your professional capability and specialty shortly (Optional) 推荐人Referees