Fillable FORM 1: NOTICE TO SUBMIT PROSPECTIVE ACTION TO (South Africa Department of Justice and Constitutional Development)

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FORM 1: NOTICE TO SUBMIT PROSPECTIVE ACTION TO (South Africa Department of Justice and Constitutional Development)

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REPUBLIC OF SOUTH AFRICA
FORM 1
NOTICE TO SUBMIT PROSPECTIVE ACTION TO MEDIATION PROCEEDINGS
IN TERMS OF SECTION 3(1) (a) (i) OF THE COURTS FOR SHORT PROCESS
AND MEDIATION IN CERTAIN CIVIL CASES ACT 103 OF 1991
Revenue Stamp
To: THE CLERK OF THE COURT
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Please take note that the undermentioned parties have agreed to submit their dispute to mediation proceedings.
........................................................................................................................................................ Plaintiff
and
........................................................................................................................................................ Defendant
Address of Plaintiff Address of Plaintiff's Legal Representative
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Tel. No................................................................... Tel. No...................................................................
Fax No................................................................... Fax No...................................................................
Address of Defendant Address of Defendant's Legal Representative
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............................................................................... ……........................................................................
Tel. No................................................................... Tel. No...................................................................
Fax No................................................................... Fax No...................................................................
Department of Justice and Constitutional Development
RULES FOR SHORT PROCESS COURTS AND MEDIATION PROCEEDINGS, 1992 – Form 1
2
Exposition of the dispute to be submitted to mediation
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Dated at......................................................................... this ................. day of …………................................ year ………...
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Signature of Plaintiff/Defendant or Plaintiff's/Defendant's
Legal Representative
Department of Justice and Constitutional Development
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FORM 1: NOTICE TO SUBMIT PROSPECTIVE ACTION TO (South Africa Department of Justice and Constitutional Development)

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Completed 21 June 2021

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