Application for Appointments & Nominations – Society of Chartered Surveyors Ireland

Your Name *

First

Last

Please select the type of appointment you are requesting: *

Appoint a Arbitrator
Nominate an Expert
Other

If other, please specify *

Your Email: *

Company name (if relevant)

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Please check *

I/We acting as Principal/Authorised Agent hereby request the President of The Society of Chartered Surveyors Ireland to appoint/nominate an Arbitrator/Expert to act in the case details of which are set out below:

Please state which party you are/ are representing: *

Landlord
Tenant

Have the parties failed to agree on a third party in accordance with the terms of the lease? *

Yes
No

1. Issue in Dispute

Is it established that the amount of the rent on review is in dispute? *

Yes
No

Have procedures as specified in lease relating to the appointment/nomination been complied with? *

Yes
No

Please upload a copy of the lease and any other relevant documents: *

Click or drag files to this area to upload. You can upload up to 10 files.

Specific Clause/page in lease (Lease is included with the application) *

State any particular provisions e.g.: time limits to which the President’s attention should be drawn, i.e. *

Time limits
Areas of specialty
Other

If other, you can provide additional details here (Optional):

Are there any issues, apart from the amount of the rent, which are in dispute and are likely to be raised? *

Yes
No

If yes, please give details: *

2. Lease/Current parties to the lease

Date of Lease *

Section 1: Landlord, landlord's representative, landlord's valuer details

Name of Current Landlord *

Landlord Email *

Landlord Contact number: *

Please select: *

I have the Landlord Representative contact details
None appointed / Not yet appointed

Please select: *

I have the Landlord Valuer contact details
None appointed / Not yet appointed

Section 2: Tenant, tenant's representative, tenant's valuer details

Name of Tenant: *

Tenant Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Tenant Contact Number: *

Tenant Email: *

Please choose: *

I have the Tenant Representative contact details
None appointed / Not yet appointed

Please choose: *

I have the Tenant Valuer contact details
None appointed / Not yet appointed

3. Premises

Address of premises for which rent is to be reviewed *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Review Date *

Current Passing Rent *

Please input the passing rent amount

Type of premises: *

If other, please specify: *

Approximate floor area: *

4. Conflict of Interest

In order to avoid possible conflict of interest please state the names of any individuals considered unsuitable for this appointment on the grounds that their appointment would raise a real possibility of bias in the eyes of a reasonably minded person because of a present or previous connection with either party or with the subject property.

To check our list of Independent Experts and Arbitrators please click here: View the list

Please state the name(s) of any individuals from the panel that may be unsuitable (and provide reason): *

Please state a detailed reason for why the named individual is unsuitable. Please write NA if there are no members of the panel that would be unsuitable.

5. Confirmations

Payment - Please confirm: *

I/We undertake to be responsible for payment of the proper fees and costs of the person appointed.

This undertaking is without prejudice to any right to recover all or part of such fees or costs from the other party to the dispute as I/we may have, pursuant to the provisions of the Lease.

Lease - Please confirm: *

I/We enclose a certified copy of the lease as executed.

Please confirm you have uploaded a certified copy

The applicant is personally to confirm the following: *

“I have read the subject lease and the application that is being made herewith is in accordance with the subject lease and I undertake and acknowledge that if there are any errors made on my part in relation to the completion of the form applying to the President of The Society of Chartered Surveyors Ireland for the appointment of an Arbitrator/Independent Expert, that I will be fully responsible for acknowledging any such errors and that any such mistakes on my part may lead to a fresh application being made to the President with all the associated costs and otherwise being incurred by the applicant”

6. Complete Payment

Appointment/Nomination Fee *

Price: 550,00 €

Total *

Item Quantity Qty Total

There are no products selected.

Appointment/Nomination Fee 1 550,00 €

Total 550,00 €

Please complete your payment *