Arbitration Case No. _______-_______, Tokyo
To: The Japan Commercial Arbitration Association
DECLARATION OF IMPARTIALITY AND INDEPENDENCE
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With respect to the above referenced arbitration case, I hereby declare that I do not see any circumstances likely to give rise to justifiable doubts as to my impartiality and independence. |
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With respect to the above referenced arbitration case, I hereby declare that I do not see any circumstances likely to give rise to justifiable doubts as to my impartiality and independence except for the circumstances stated in the attached sheet. |
Date:--------------, 20----
Signature:_____________________.
(Note)
1. Please mark the above relevant box.
2. If there are any circumstances to be disclosed, please state them in a separate sheet and be attached hereto.
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