/ Application for Admission to the JCD Panel of NEC Adjudicators
January 2009
1. / Personal Details :
Title & Surname
Forenames
Date of birth
Address physical
postal
Fax / Tel
Cell
E-Mail:
Qualifications
Name of Built Environment Registration Council
Category of registration
Date of registration
Name of your professional body / learner society
Current grade & date of election to that grade:
2. / Experience: General
(a) / Indicate which of the NEC family of contracts that you have a working knowledge of, i.e. ECC, ECS, ECSC, ECSS, PSC, TSC and CIDB supply contracts, and describe your experiences relating to such contracts in detail:
(b) / Do you consider you have a reasonable knowledge of Construction Law (if yes, briefly outline how gained) YES/NO
(c) / Do you have experience in briefing lawyers (if yes briefly outline)
YES/NO
3 / Contract experience (with dates).
(a) As a Contractor:
(b) As a Project Manager / Engineer / Principal Agent / Architect administering a contract:
(c) As a Design Consultant
(d) As a drafter of contract documentation
4. / Dispute Resolution
(a) / Training as an Adjudicator.
Give information on courses attended – if no specific course on Adjudication attended indicate familiarisation courses on NEC that have been attended, i.e. In-house, public seminars or practical experience, etc.)
(b) /
Legal Training
State name of any qualifying examination and date passed, courses or other training
5. / Adjudication Experience.
Please indicate any experience you have had in adjudicating NEC contracts:
6. / Other Dispute Resolution Experience.
7. / Referees
Give names and addresses of two referees
Referee 1
Telephone no: / Referee 2
Telephone no:

Declaration

I have read the requirements for inclusion in the JCD Panel of NEC Adjudicators and ask for the reviewers to waive the following requirements for the following reasons: (If all requirements satisfied enter ‘none’)

I wish to be enrolled on the Joint Civils Division Panel of NEC Adjudicators, and am prepared to undertake adjudications for the following forms of NEC Contract:

Form of Contract / YES / NO
ECC & ECS
ECSC & ECSS
PSC
TSC
CIDB Supply

I attach my Curriculum Vitae, and a cheque for R 1000 or proof of payment of an amount of R1000 into the JCD’s bank account :

Parktown North Branch (Code 000-355) Account No 200485288 in the name of The South African Institution) and request admission to the Panel.

I confirm that I:

1) will not take on any adjudication where a conflict of interest might exist[1];

2) perform any adjudications that may be assigned to me promptly and in accordance with provision of the contract;

3) will before 21 July of each year that I am on the panel, submit an Annual Return and pay the applicable annual renewal fee of R500.

Signature: / Name (Print)
Date:

1

[1] A conflict of interest means any situation in which an adjudicator has competing professional or personal interests which make it difficult to fulfill his or her duties impartially or where incompatibility or contradictory interests exist. A conflict of interest can create an appearance of impropriety that can undermine confidence in the ability of that person to act properly in his or her position even if no improper acts result.