LASUSU - Students' Judicial Council

Name of the Plaintiff/ Appellant

Name(s) of the Defendant(s)/Respondent(s)

Nature of the Matter

Grounds of the Claim(s)

Relief sought from the Court

Person(s) directly affected in the Matter

Name(s) and Address(es) of the Conserned person(s)

Give Contact detail of the party/parties to be Served with Court Notice of Appearance(s)

Receipt No

Case/Suit No: (To be collected from the Court's Registrar)

Dated this Day:

Matter between

And

Take notice that being aware of the availability of a range of processes known as Alternative Dispute Resolution (ADR), designed to aid Parties in amicably resolving their dispute outside of a formal judicial proceeding and of the existence of the Lagos State University Students' Union Judicial Council Courts of Mediation Programme (LASUSUJCCMP) here the Court offers settlement assistant to parties. I/We request that the LASUSUJCCMP assist in settling the matter stated herein. Requested ADR Mechanism:(put appropriate name(s))

Tick preferred Mechanism;

Arbitration
Neutral Evaluation

Write a Brief Statement of Issues with no more than 5 issues identified and only the most essential issues that you can support with related Document(s).

Name of the Applicant

Name and Address and Phone No of Principal contact

Telephone Number:

E-Mail Address:

Details of the other Parties: Names, Addresses, Phone No, E-Mail Address et.c;

Dated today: