SOLVIST ODR

Empanelment — Expert

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Personal Details

Full Name *

Mobile *

Email Address *

Address (City, State) *

Professional Details

Years of Practice *

Primary Practice Area *

Professional / Registration No. *

Institutions / Panels / Assignments (if any)

Bank Details

Account Holder Name *

Bank Account Number *

IFSC Code *

Bank & Branch *

Preferences

Willing to Act As *

Interested in Conducting Webinar? *

Preferred Webinar Topic(s)

Profile

Profile Photo (JPG / PNG / WEBP, max 5 MB)

Short Bio *

Declarations

I hereby give my consent and confirm my willingness to act as an Expert / Mediator (as applicable), subject to applicable law, required disclosures, independence and impartiality obligations, and conflict-of-interest checks. I further agree that fees shall be governed by the applicable legal framework, institutional rules, and mutually agreed terms. * Required

I confirm that all information provided above is true and accurate to the best of my knowledge, and I consent to Solvist ODR storing and processing my personal data for empanelment review purposes. * Required

Fields marked * are mandatory.

On submission, your application is stored securely, converted to PDF, emailed to you, and archived.