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Application Form
Please complete all parts of this form in black ink or by typing it. Incomplete forms will not be accepted.
1. Background Information
1.1 Personal details
Family name/surname in English |
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First name (English) |
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Nationality |
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Gender – male/female |
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Country of residence |
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1.2 Passport details
Passport number |
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Issue date (dd/mm/yyyy) |
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Expiry date (dd/mm/yyyy) |
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Place of issue of passport |
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1.3 Contact details
Home address |
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City/town |
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Postcode/Zip code |
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Country |
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Email address |
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Telephone number (with international code) |
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Mobile number with (international code) |
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2. Legal Qualification
Date of qualification as a lawyer |
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Number of years since qualification |
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3. Current Employment
Please be aware that one of the conditions of application is that you work for a Russian law firm
Job title |
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Law firm name |
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Law firm address |
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Number of qualified lawyers working at law firm |
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3.1 Please describe your current job and legal specialisms
3.2 Please indicate what percentage of your work is international and involves disputes resolution on a scale of 1 to 100%
International work (1-100%) |
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Dispute resolution (1-100%) |
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3.3 Please provide a brief describe of the core work of your law firm
4. English Language Skills
4.1 Have you achieved a 6.5 in the IELTS? q yes q no
If no, please detail what equivalent English Language qualification you have achieved (and include the certificate with your application)
4.2 How often do you use the English language for the following activities?
To read documentsq regularly q occasionally q never
To draft contracts/legal documentsq regularly q occasionally q never
On the telephone/in meetings with clientsq regularly q occasionally q never
5. Modules
Which modules do you choose q UK qualification
q UK/USA qualification
q Russian qualification
6. Declaration
I confirm that the information I have provided is correct and that I understand the terms and conditions of the programme, as detailed in the guidance document
Signature |
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Date |
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7. Application submission instructions
Please email scanned or electronic copies of the following documents to mediationrussia@adrgroup.co.uk by Friday, August 15, 2014
} Completed application form
} Main page of passport
For more information and details on how to apply, please contact us via email or call +7 (495) 7434847
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