CTHRepealedLegislation
Family Law Regulations 1984
Form 6—Application for arbitrationForm 6—Application for arbitration
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## Form 6—Application for arbitration
(regulation 67D)
```html
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><tbody><tr style="height:29pt"><td rowspan="4" style="width:46.82%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span style="font-family:Helvetica, sans-serif; font-size:10pt; font-weight:bold">[</span><span style="font-family:Helvetica, sans-serif; font-size:10pt">name of court</span><span style="font-family:Helvetica, sans-serif; font-size:10pt; font-weight:bold">]</span></p><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid; line-height:16pt"><br><br><span style="font-family:Helvetica, sans-serif; font-size:14pt; font-weight:bold">Application for arbitration</span></p><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><br><br><br><span style="font-size:10pt">Form 6 — Family Law Regulation</span><span style="font-size:10pt"> </span><span style="font-size:10pt">67D</span><br><span style="font-size:10pt"></span></p></td><td colspan="2" style="border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top; background-color:#000000"><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt; color:#ffffff">Fill in box A (file numbers)</span></p></td></tr><tr style="height:29pt"><td style="width:21.66%; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt">A</span><span style="width:44.95pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">File</span><br><span style="width:35.96pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">Number</span></p></td><td style="width:31.52%; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p></td></tr><tr style="height:29pt"><td style="width:21.66%; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt">B</span><span style="width:32.2pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">Filed at</span></p><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p></td><td style="width:31.52%; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p></td></tr><tr style="height:29pt"><td style="width:21.66%; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt">C</span><span style="width:29.32pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">Hearing date</span></p><p class="TableText0" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt">Hearing time</span></p></td><td style="width:31.52%; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt">AM</span></p><p class="TableText0" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt">PM</span></p></td></tr></tbody></table>
```
| Application |
| ------------------------------------------------------------------------------------------------ |
| The parties seek an order referring the matter, details of which are given below, to arbitration |
| Notice |
| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |
| Take notice that: this application is set down for hearing before the Court sitting at the time and place in box C above if you do not appear at the hearing, the Court may hear and decide the matter in your absence |
```html
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><tbody><tr style="height:12pt"><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#000000"><p class="TableText0" style="margin-bottom:0pt; page-break-inside:avoid; page-break-after:avoid"><span style="color:#ffffff">Details of parties</span></p></td><td colspan="7" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#000000"><p class="TableText0" style="margin-bottom:0pt; page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt; color:#ffffff"></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#000000"><p class="TableText0" style="margin-bottom:0pt; page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt; color:#ffffff"></span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt; page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p></td><td colspan="5" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p></td><td style="width:3.94%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p></td><td style="width:27.58%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt">1</span><span style="width:9.7pt; text-indent:0pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">Names of parties making this application</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="5" style="border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt">family name (surname)</span><br><span style="font-size:9pt"></span></p></td><td style="width:3.94%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td style="width:27.58%; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt">given names</span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt"></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="5" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td style="width:3.94%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td style="width:27.58%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="width:14.2pt; text-indent:0pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt; font-style:italic">give details for each</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="5" style="border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt">family name (surname)</span><br><span style="font-size:9pt"></span></p></td><td style="width:3.94%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td style="width:27.58%; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt">given names</span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt"></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="5" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td style="width:3.94%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td style="width:27.58%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt; font-style:italic"></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="5" style="border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt">family name (surname)</span><br><span style="font-size:9pt"></span></p></td><td style="width:3.94%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td style="width:27.58%; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt">given names</span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt"></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="4" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td style="width:27.58%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="width:14.2pt; text-indent:0pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt; font-style:italic">attach extra page if you need more space</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="4" style="border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt">family name (surname)</span><br><span style="font-size:9pt"></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td style="width:27.58%; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt">given names</span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt"></span></p></td><td colspan="7" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt">2</span><span style="width:9.7pt; text-indent:0pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">Postal address for service of documents on each applicant</span></p></td><td colspan="9" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:8.75pt"><span style="font-size:9pt"></span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt; font-style:italic">Applicant 1</span></p></td><td colspan="9" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:8.8pt; text-indent:0.45pt"><span style="font-size:9pt">send to solicitor/s in 3 </span><span style="font-family:Webdings, serif; font-size:9pt"></span><span style="width:22.65pt; text-indent:0pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">other</span><span style="font-size:9pt"> </span><span style="font-family:Webdings, serif; font-size:9pt"></span><span style="font-size:9pt"> </span><span style="font-size:9pt">give details:</span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-top:0pt; margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt; font-style:italic"></span></p></td><td style="width:3.28%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="8" style="border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p><p class="TableText0"><span style="width:145.8pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">postcode</span></p><p class="TableText0"><span style="font-size:9pt">tel (</span><span style="font-size:9pt"> </span><span style="font-size:9pt">)</span><span style="width:44.06pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">fax (</span><span style="font-size:9pt"> </span><span style="font-size:9pt">)</span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt; font-style:italic">Applicant 2</span></p></td><td colspan="9" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:8.8pt"><span style="font-size:9pt">send to solicitor/s in 3 </span><span style="font-family:Webdings, serif; font-size:9pt"></span><span style="width:16.05pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">other</span><span style="font-size:9pt"> </span><span style="font-family:Webdings, serif; font-size:9pt"></span><span style="font-size:9pt"> </span><span style="font-size:9pt">give details:</span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-top:0pt; margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt; font-style:italic"></span></p><p class="TableText0" style="margin-top:0pt"><span style="font-size:9pt; font-style:italic">Attach separate sheet for any others</span></p></td><td style="width:3.28%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="8" style="border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p><p class="TableText0"><span style="width:145.8pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">postcode</span></p><p class="TableText0"><span style="font-size:9pt">tel (</span><span style="font-size:9pt"> </span><span style="font-size:9pt">)</span><span style="width:44.06pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">fax (</span><span style="font-size:9pt"> </span><span style="font-size:9pt">)</span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt"></span></p></td><td colspan="9" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td></tr><tr style="height:12pt"><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt">3</span><span style="width:9.7pt; text-indent:0pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">Solicitor for each applicant</span></p></td><td colspan="9" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td></tr><tr><td colspan="2" style="border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt; font-style:italic">Applicant 1</span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="width:14.2pt; text-indent:0pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">‑</span><span style="font-size:9pt"> name</span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="width:14.2pt; text-indent:0pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">‑</span><span style="font-size:9pt"> firm name</span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="width:14.2pt; text-indent:0pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">‑</span><span style="font-size:9pt"> address</span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="width:14.2pt; text-indent:0pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">‑</span><span style="font-size:9pt"> phone/fax/DX</span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt; font-style:italic">Applicant</span><span style="font-size:9pt; font-style:italic"> </span><span style="font-size:9pt; font-style:italic">2</span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="width:14.2pt; text-indent:0pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">‑</span><span style="font-size:9pt"> name</span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="width:14.2pt; text-indent:0pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">‑</span><span style="font-size:9pt"> firm name</span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="width:14.2pt; text-indent:0pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">‑</span><span style="font-size:9pt"> address</span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="width:14.2pt; text-indent:0pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">‑</span><span style="font-size:9pt"> phone/fax/DX</span></p><p class="TableText0" style="text-align:justify"><span style="font-size:9pt; font-style:italic">Attach separate sheet for any others</span></p></td><td style="width:3.28%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="8" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><div style="margin-top:3pt; margin-bottom:3pt; border:0.75pt solid #000000; clear:both"><p class="TableText0" style="margin-top:0pt; margin-bottom:0pt; padding:1pt 4pt 3pt"><span style="font-size:9pt"></span></p><p class="TableText0" style="margin-top:0pt; margin-bottom:0pt; padding-right:4pt; padding-left:4pt; padding-bottom:3pt"><span style="font-size:9pt"></span></p><p class="TableText0" style="margin-top:0pt; margin-bottom:0pt; padding-right:4pt; padding-left:4pt; padding-bottom:3pt"><span style="width:138.7pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">code</span></p><p class="TableText0" style="margin-top:0pt; margin-bottom:0pt; padding-right:4pt; padding-left:4pt; padding-bottom:3pt"><span style="width:138.7pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">postcode</span></p><p class="TableText0" style="margin-top:0pt; margin-bottom:0pt; padding-right:4pt; padding-left:4pt; padding-bottom:1pt"><span style="font-size:9pt">tel (</span><span style="font-size:9pt"> </span><span style="font-size:9pt">)</span><span style="width:44.06pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">fax (</span><span style="font-size:9pt"> </span><span style="font-size:9pt">)</span><span style="width:35.16pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">DX and suburb/town</span></p></div><div style="margin-top:3pt; margin-bottom:3pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; clear:both"><p class="TableText0" style="margin-top:0pt; margin-bottom:0pt; padding-right:4pt; padding-left:4pt; padding-bottom:3pt"><span style="font-size:9pt"></span></p><p class="TableText0" style="margin-top:0pt; margin-bottom:0pt; padding-right:4pt; padding-left:4pt; padding-bottom:3pt"><span style="font-size:9pt"></span></p><p class="TableText0" style="margin-top:0pt; margin-bottom:0pt; padding-right:4pt; padding-left:4pt; padding-bottom:3pt"><span style="width:138.7pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">code</span></p><p class="TableText0" style="margin-top:0pt; margin-bottom:0pt; padding-right:4pt; padding-left:4pt; padding-bottom:3pt"><span style="width:138.7pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">postcode</span></p><p class="TableText0" style="margin-top:0pt; margin-bottom:0pt; padding-right:4pt; padding-left:4pt; padding-bottom:1pt"><span style="font-size:9pt">tel (</span><span style="font-size:9pt"> </span><span style="font-size:9pt">)</span><span style="width:44.06pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">fax (</span><span style="font-size:9pt"> </span><span style="font-size:9pt">)</span><span style="width:35.16pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">DX and suburb/town</span></p></div><p class="TableText0" style="margin-top:0pt; margin-right:1.7pt"><span style="font-size:9pt"></span></p></td></tr><tr style="height:12pt"><td colspan="11" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#000000"><p class="TableText0" style="margin-bottom:0pt; page-break-inside:avoid; page-break-after:avoid"><span style="color:#ffffff">Details of issue(s) to be arbitrated</span></p></td></tr><tr style="height:12pt"><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt">4</span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt; page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt; page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt; page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p></td><td colspan="9" style="border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0" style="page-break-after:avoid"><span style="font-size:9pt"></span></p></td></tr><tr style="height:12pt"><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#000000"><p class="TableText0" style="margin-left:14.2pt; margin-bottom:0pt; text-indent:-14.2pt"><span style="color:#ffffff">Details of arbitrator</span></p></td><td colspan="9" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#000000"><p class="TableText0" style="margin-bottom:0pt"><span style="font-size:9pt; color:#ffffff"></span></p></td></tr><tr style="height:12pt"><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="margin-left:14.2pt; text-indent:-14.2pt"><span style="font-size:9pt">5</span><span style="width:9.7pt; text-indent:0pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">If the parties have agreed on an arbitrator, give brief details of the proposed arbitrator, including name and address</span></p></td><td colspan="9" style="border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt; font-style:italic"></span></p></td></tr><tr><td style="width:29.08%; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top; background-color:#000000"><p class="TableText0" style="margin-left:14.2pt; margin-bottom:0pt; text-indent:-14.2pt; page-break-after:avoid"><span style="font-size:10pt; color:#ffffff">Signature</span></p></td><td colspan="10" style="border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top; background-color:#000000"><p class="TableText0" style="margin-bottom:0pt"><span style="font-size:12pt; font-style:italic; color:#ffffff"></span></p></td></tr><tr><td colspan="6" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0" style="line-height:normal; font-size:9pt"><span>Signed</span></p></td><td style="width:3.28%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="4" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt">Date</span></p></td></tr><tr><td colspan="6" style="border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0" style="margin-top:0pt; line-height:normal; font-size:9pt"><span></span></p></td><td style="width:3.28%; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td><td colspan="4" style="border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td></tr><tr><td colspan="11" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="width:42.55pt; font-size:9pt; display:inline-block"></span><span style="font-size:9pt">applicant(s) </span><span style="font-family:Webdings, serif; font-size:9pt"></span><span style="width:38.42pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">solicitor for applicant(s) </span><span style="font-family:Webdings, serif; font-size:9pt"></span></p></td></tr><tr><td colspan="11" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt">This application was prepared by</span><span style="width:12.14pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">applicant </span><span style="font-family:Webdings, serif; font-size:9pt"></span><span style="width:22.61pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">solicitor </span><span style="font-family:Webdings, serif; font-size:9pt"></span><span style="width:26.8pt; font-size:9pt; display:inline-block"> </span><span style="font-size:9pt">counsel </span><span style="font-family:Webdings, serif; font-size:9pt"></span></p></td></tr><tr><td colspan="5" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt">(</span><span style="font-size:9pt; font-style:italic">print name if solicitor/counsel)</span></p></td><td colspan="6" style="border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText0"><span style="font-size:9pt"></span></p></td></tr><tr style="height:0pt"><td style="width:123.95pt"></td><td style="width:8.55pt"></td><td style="width:14pt"></td><td style="width:2.8pt"></td><td style="width:16.65pt"></td><td style="width:109.15pt"></td><td style="width:14pt"></td><td style="width:1.55pt"></td><td style="width:1.45pt"></td><td style="width:16.8pt"></td><td style="width:117.55pt"></td></tr></tbody></table>
```