Empanelment Form

Indian Council of Arbitration (ICA)
Federation House, Tansen Marg, New Delhi – 110 001

[Email: ica@ficci.com; Website: www.icaindia.co.in]
Request for Empanelment for Dispute Boards (DB) in India
For Office Use Only in ICA
Application ID: TRADES 1 2 3
Sectors
Date:
Sub-Sectors
1. PERSONAL PARTICULARS:
a) Name of Applicant: Mr/Ms
b) Date of Birth (Gregorian Calendar):
c) Father’s name: Mr
d) Email:
e) Phone(s): Home or Work: ……………………….. Mobile: ….………………………
f) Postal Address for Communications:
City: Pin Code:
2. RELEVANT TRADES (See List of Trades. Please mention up to 3 trades):
3. EDUCATIONAL AND ENGINEERING QUALIFICATIONS:

(Highest qualification down to Graduation)
Sl. No. College/University Year of Passing
1.
2.
3.
4.
Page | 1
4. EXPERIENCE:
(Highest three Positions and other lower positions, if any, clubbed together)
Sl. No. Organisation/Position Period
1.
2.
3.
4.
5. DETAILS OF WORKS: Broad Details of Works with contract type and value,
at different levels and the role played therein. (mention the biggest work at
different levels).
6. Name/Particulars of two Referees:

i)
ii)
Page | 2
7. DECLARATION/UNDERTAKING:
I declare that,
I am physically fit and mentally alert with functionally adequate vision and
hearing;
I possess adequate fluency in English;
I have adequate knowledge about various types of construction and other
contracts;
(list a few like FIDIC Conditions of contract of different types - MDB
conditions of contract, CPWD / PWD / MES / Railways / other contracts)
I possess adequate knowledge about laws concerning contracts and ADR
systems like the Indian Contract Act 1872, the Arbitration and Conciliation Act
1996, the Limitation Act 1963 which come into play when dealing with
contractual disputes.
I have gone through the Standard Operating Procedures (SOP) for DB in
India and shall conform to the various provisions contained therein. I also
confirm that I will abide by the Code of Ethics as per the SOP.
An amount of Rs.5,900/-(inclusive of GST @18%) towards ‘Empanelment
Fee’ through a Cheque No. ___ dated ___drawn on _________(Bank)
in favour of ‘Indian Council of Arbitration’ is attached.
Signature of applicant ……………………………………………

The Applicant may provide documentation in support and list them here under.
List of Documents attached with the application: -
1.
2.
3.
4.
5.
Notes: (i) Additional Sheets may be used in case the space available in the form is
not sufficient. Any such additional sheet(s) shall be duly listed in the space
provided above. (ii) The procedure for empanelment is contained in the document
on ‘Empanelment of DB Members’ as posted on the website of ICA. Applicants
should take note of the same.
Page | 3
List of Trades for the purpose of empanelment of DB Members:
1. Building Sector:
a) Buildings, b) Airport Terminal, Aerocity, c) Stadia,

d) Storage sheds and Silos.
2. Road Sector:
a) Roads/Highways/Expressways, b) Bridges, Flyovers & Underpasses,
c) Tunnels d) Airport Runways, Taxiways, Aprons.
3. Railways and Metro Systems:
a) Tracks, Freight Corridors b) Metro Systems, c) Power Supply Systems,
d) Signaling Systems, e) OHE, f) Bridges g) Tunnels
4. Water Supply and Sewage Disposal:
a) Pressure Mains, b) Water Treatment Plants, c) Sewage Gravity Mains

and Networks, d) Sewage Treatment Plants
5. Ports & Shipping (including Inland Waterways):
a) Docks / Dry Docks, b) Break-Waters, c) Jetties, d) Lighthouses,
e) Dredging Works
6. Power Sector - Transmission & Distribution:
a) Power Switch Yards, b) Transmission Towers and Lines
c) Sub-Stations HT/LT
7. Thermal Power:
a) Thermal Power Houses, b) Chimneys, c) Cooling Towers
8. Hydroelectric Power and Irrigation Works:
a) Dams and Allied Structures, b) Canals and Irrigation works
c) Penstocks/Tunnels, d) Power Houses/Turbine Houses
9. Nuclear Power:
a) Power Reactors, b) Special Buildings/Structures
Page | 4
10. Wind power: - a) Wind Turbines
11. Solar Power: - a) Solar Farms
12. Pipelines:
a) Oil Pipelines, b) Gas Pipelines
13. Telecommunication:
a) Metallic Communication Cables, b) Optic Fibre Cables
14. Space Sector: - a) Launch Pads and Structures
15. Manufacturing:(Normally for Ad Hoc DBs only). a) Mechanical b) Electrical

and Electromechanical c) Electronics and Digitally Controlled Systems/Equipment
d) Ship Building and Special Fabrications
16. Others, if not covered above:
Page | 5

Empanelment Form

Uploaded by

Copyright:

Available Formats

Empanelment Form

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Empanelment Form

Uploaded by

Copyright:

Available Formats

Indian Council of Arbitration (ICA)

Federation House, Tansen Marg, New Delhi – 110 001

City: Pin Code:

2. RELEVANT TRADES (See List of Trades. Please mention up to 3 trades):

3. EDUCATIONAL AND ENGINEERING QUALIFICATIONS:

Sl. No. College/University Year of Passing

Sl. No. Organisation/Position Period

6. Name/Particulars of two Referees:

Signature of applicant ……………………………………………

List of Documents attached with the application: -

a) Buildings, b) Airport Terminal, Aerocity, c) Stadia,

a) Roads/Highways/Expressways, b) Bridges, Flyovers & Underpasses,

c) Tunnels d) Airport Runways, Taxiways, Aprons.

3. Railways and Metro Systems:

a) Tracks, Freight Corridors b) Metro Systems, c) Power Supply Systems,

d) Signaling Systems, e) OHE, f) Bridges g) Tunnels

4. Water Supply and Sewage Disposal:

a) Pressure Mains, b) Water Treatment Plants, c) Sewage Gravity Mains

5. Ports & Shipping (including Inland Waterways):

a) Docks / Dry Docks, b) Break-Waters, c) Jetties, d) Lighthouses,

6. Power Sector - Transmission & Distribution:

a) Power Switch Yards, b) Transmission Towers and Lines

a) Thermal Power Houses, b) Chimneys, c) Cooling Towers

8. Hydroelectric Power and Irrigation Works:

a) Dams and Allied Structures, b) Canals and Irrigation works

c) Penstocks/Tunnels, d) Power Houses/Turbine Houses

a) Power Reactors, b) Special Buildings/Structures

11. Solar Power: - a) Solar Farms

a) Oil Pipelines, b) Gas Pipelines

a) Metallic Communication Cables, b) Optic Fibre Cables

14. Space Sector: - a) Launch Pads and Structures

15. Manufacturing:(Normally for Ad Hoc DBs only). a) Mechanical b) Electrical

16. Others, if not covered above:

You might also like

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.