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调解申请书(中英文示范)
2010-07-05 20:24:12



申请人:
法定代表人:      地址:          邮编:
电话:            传真:          电子邮件:
被申请人:
法定代表人:      地址:          邮编:
电话:            传真:          电子邮件:
(填写以下三项可另附纸张)
基本事实:
争议要点:
调解请求:

申请人(或其授权代理人)签字、公司盖章:

日期:     年   月   日


Application for Conciliation
Applicant:
Legal representative:          Address:          Zip code:
Telephone:                  Fax:              E-mail:
Respondent:
Legal representative:          Address:          Zip code:
Telephone:                  Fax:              E-mail:
Summary of dispute:
Main points of dispute:
Claim :

Appointment of mediation

Signature of the Legal representative (or authorized agent) and seal of Applicant: