Case number: Data on Domain name Holder Full name / Company name Postal address Email Telephone number Tax ID Number of Domain-name Holder or person paying fee (only applicable in case of supplemental fees for panel decision): Full name of statutory representative of Domain name Holder: Person paying fee is VAT registered YesNo Contact person at the Domain name Holder All communication will take place with the stated contact person, except if the Domain name Holder requests that communication in the ADR procedure take place via an authorised representative. Full name Email Data on the Domain name Holder’s authorised representative (where applicable) Full name / Company name Postal address Email Telephone number Should communication take place via authorised representative rather than the Domain name Holder: YesNo Information on the processing of your personal data provided in this document can be found in the »Privacy Statement«. Response of the Domain name Holder to statements in the complaint (if necessary due to spatial constraints the statement of grounds can be submitted as an attachment.) The ADR procedure should be decided: One arbiter;A panel of three arbiters, and I am prepared to pay additional fees in accordance with the ADR Rules. If Complainant has requested a panel of arbiters, Domain name Holder does not need to make the same request. To the best of my knowledge, the same domain(s) is/are: Not subject to any other current court, arbitration or other procedure;Subject to a procedure before: State the body: At the initiative of: and I enclose suitable evidence thereof. ENCLOSURES: Authorisation of authorised representatives (.pdf or .zip, max 1MB). Bank confirmation of payment of additional fees for the appointment of a panel od arbiters (.pdf or .zip, max 1MB). Evidence supporting the response to the complaint (.zip, max 20MB). Evidence of the existence of another procedure regarding the same domain(s) (.pdf or .zip, max 2MB). Your messsage (not required) If you have any problems with the online form, please contact us at register@register.si
