Mediation Agreement Page 5

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Mediation Agreement
SCHEDULE
ITEM 1
The Dispute: as set out in High Court proceedings (xx Registry) CIV xx
ITEM 2
Date of mediation:
xx
xx
Place of mediation:
Commencement time of
xx
mediation:
PLEASE PRINT NAME OF PARTY AND AUTHORISED SIGNATORY IF A CORPORATION
SIGNED on behalf of
xx
SIGNED on behalf of
xx
SIGNED on behalf of
xx
SIGNED on behalf of
xx
5

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