Next Date of Hearing in the Referral Court:_________________

Court Case ID: _____________________

Name of the Referral Judge with stamp _______________________________________

SUIT NO. / CASE NO. _____________________________________________________

NAME OF THE PARTIES _________________________________________________

(Attach photocopy of the

First page of the Plaint) versus

_________________________________________________

DATE OF INSTITUTION OF THE CASE ____________________________________

NATURE OF SUIT ______________________________________________________

STAGE OF THE CASE AT THE TIME OF REFERRAL: _________________________

NO. OF HEARINGS AT THE TIME OF REFERRAL ___________________________

- MEDIATION REFERRAL ORDER -

This Court, having conferred with the parties and having determined that this matter could benefit from mediation, and pursuant to Section 89 of the CPC, orders that the following persons shall attend mediation as provided by the Court at no cost to the parties.

The above parties and advocates will report at Mediation Centre (address of the Mediation Centre should be specified here) on ___________ at __________ a.m/p.m. If it is not possible to mediate this case on the date fixed, the Mediation Centre will arrange a future date for mediation convenient to the parties.

The Mediation will be conducted by a specially trained Mediator.

If a settlement agreeable to the parties is reached, the terms shall be recorded by the mediator and signed by the parties/their counsel and returned to this Court for further appropriate orders.

If no settlement is reached, neither the parties, the advocates, nor the mediator may disclose to this Court anything that was discussed at the mediation.

Signature of the Referral Judge with date: _______________________

__________________________	________________________

Signature of Plaintiff/Complainant Phone No. of party _________________ Name of the advocate_______________ _________________________________ Phone No. of the advocate ___________	Signature of Respondent/Accused Phone No. of party _________________ Name of the advocate_______________ _________________________________ Phone No. of the advocate ___________