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APIEx Applicant Reference
APIEx Membership Appllicant Reference Form
Reference for
Full Name of Expert
*
Expert's Firm/Company (if applicable)
Expert's Address
*
Expert's Specialist Field(s)
*
List all relevant fields of expertise
Referee's Details
Full Name of Referee
*
Referee Title/Designation
*
Referee's Firm/Company
*
Referee's Address
*
Referee Email Address
*
Referee Contact Number
*
Referee's Website (if any)
Referee's Country
*
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saba
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Eustatius
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
ANSWER ALL THE FOLLOWING QUESTIONS
Has the expert named above reported in writing to you or your firm in the last three years?
*
Yes
No
Written Report
Did the expert show knowledge of the identified issues?
*
Yes
No
N/A
Did the expert keep to the agreed timescale?
*
Yes
No
N/A
Pls rate the expert's written report
How accurate was the report in terms of factual content?
*
Poor
Fair
Good
N/A
How objective was the expert's analysis of the facts?
*
Poor
Fair
Good
N/A
How clear and well-presented was the report?
*
Poor
Fair
Good
N/A
Did the report comply with the relevant procedural rules?
*
Poor
Fair
Good
N/A
Oral Evidence
Was the expert required to give oral evidence in Court? (Court includes all civil and criminal courts, as well as any tribunal, arbitration, and inquest).
*
Yes
No
At what Court was oral evidence presetned?
Pls complete if the answer to the preceding question was "Yes".
Pls rate the expert's oral evidence
Understanding of Court procedure and requirements
*
Poor
Fair
Good
N/A
Delivery in chief
*
Poor
Fair
Good
N/A
Delivery under cross-examination
*
Poor
Fair
Good
N/A
Content
*
Poor
Fair
Good
N/A
Appearance and manner
*
Poor
Fair
Good
N/A
Comments/Recommendation
Did the judge or Chairman of the Tribunal or anyone else make any adverse comment regarding the expert’s report, or oral evidence?
*
Yes
No
If Yes, please outline the comments. and the circumstances.
Comments by Judge or Tribunal (if any)
Would you use this expert again in a similar case, or recommend this expert to someone else?
*
Yes
No
Undecided
Please add anything you wish to be considered in connection with the expert's application for membership.
Signature of Referee
*
Date / Time
*
All information and opinions I provide in this reference are accurate and true.
*
Confirmed
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