Centro de Conciliacin, Negociacin,

Mediacin y Arbitraje

Resolucin. Viceministerial
N176-2001-JUS

CENTRO DE CONCILIACIN, NEGOCIACIN, MEDIACIN Y ARBITRAJE ASS

Resolucin Viceministerial N 176 2001- JUS

SOLICITUD PARA CONCILIAR

EXP N________-20___A
DATOS GENERALES:
Fecha:_____________
A) Nombre o razn social del (los) solicitantes________________________________________________________
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Documento de identidad o RUC del (los) solicitante(s)____________________________________________________
Domicilio del (los) solicitante(s)______________________________________________________________________
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Nombre del apoderado o representante________________________________________________________________
Domicilio del apoderado o representante _______________________________________________________________
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B) Nombre o razn social del (los) invitado(s)_________________________________________________________
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Domicilio (s) del (los) invitado(s) ____________________________________________________________________
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HECHOS QUE DIERON LUGAR AL CONFLICTO:
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OTRAS PERSONAS CON DERECHO ALIMENTARIO (solo en caso de familia)
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PRETENSION
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Pido a ustedes acceder a mi solicitud, a fin que proceda conforme a la Ley de Conciliacin y su Reglamento.
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Firma del solicitante
Documentos que adjunto: