Instructions:
To be submitted to: The Registrar, Bharatiya Nyaya Vikalp Samadhan Kendra (BNVSK). File in duplicate — one set for BNVSK, one copy to the Respondent. Attach all supporting documents as annexures. Filing fee must accompany this Form (see Schedule II).
Claimant Name *
Claimant Address *
Claimant Contact (Phone/Email) *
Claimant's Counsel / Representative
Respondent Name *
Respondent Address *
Respondent Contact (if known)
Is there a Written Arbitration Agreement?
YesNoSubmitting Submission Agreement
Date of Arbitration Agreement / Contract
Subject Matter of Contract
Preferred Track
Standard TrackExpedited TrackPanchayat Track
Proposed Seat (if different from Delhi)
Preferred Language
EnglishHindiBoth
Number of Arbitrators
Sole ArbitratorThree Arbitrators
Brief Description of the Dispute *
Approximate Value / Quantum of Claim (INR)
Relief / Remedies Sought
Date of Cause of Action
Limitation Status
YesDisputedSeeking Extension under Section 43
Arbitration Agreement / Clause
AttachedNot ApplicableSubmission Agreement
Underlying Contract / Agreement
AttachedNot Applicable
Relevant Correspondence
Invoices / Payment Records
Other Documents Description
Upload Supporting Documents
Amount Paid (INR)
Mode of Payment
NEFT/RTGSDemand DraftUPIOther
Transaction / DD Reference Number
Date of Payment
I/We hereby declare that the information provided above is true and correct to the best of my/our knowledge. I/We undertake to abide by the BNVSK Arbitration, Conciliation, Mediation and Panchayat Rules, 2024 and the Arbitration and Conciliation Act, 1996.
Name *
Date *
Case Number
Date of Receipt
Registrar's Signature
Authorised Representative / Claimant Name: *
Date: *
