Annexure 35 — GOODS_MANUAL

I hereby certify that I am serving Officer and am presently posted as______ in grade. 4. I have no past or present relationship in relation to the subject matter in dispute, whether financial, business, professional or other kind.

I have past or present relationships in relation to the subject matter in dispute, whether financial, business, professional or other kind. The list of such interests is as follows:

5. I have no past or present relationship with or interest in any of the parties, whether financial, business, professional or other kind, which is likely to give rise to justifiable doubts as to my independence or impartiality in terms of the Arbitration and Conciliation Act 1996.

I have a past or present relationship with or interest in any of the parties, whether financial, business, professional or other kind, which is likely to give rise to justifiable doubts as to my independence or impartiality in terms of the Arbitration and Conciliation Act 1996. The details of such a relationship or interest are as follows:

6. There are no concurrent circumstances that are likely to affect my ability to devote sufficient time to the arbitration and, in particular, to finish the entire arbitration within twelve months.

There are circumstances that are likely to affect my ability to devote sufficient time to the arbitration and, in particular, to finish the entire arbitration within twelve months. The list of such circumstances is as follows:

Annexure 35: Format of Declaration by the Arbitrator (Refer para 9.9.9-1-c)) 1. Name 2. Contact Details: 3. I hereby certify that I have retired from [Organisation/ Unit] w.e.f. _______in______grade.