Contract

บันทึกข้อตกลง/สัญญาxxxxxxxxxxx ข้อพิพาทหมายเลขดำที่ ……..…….../25……...

ยอมความ

xxxxxx ……… เดือน ………..………… พ.ศ. …………

ศาล................................................

ข้อพิพาท......................................................................

วิธีการไกล่เกลี่ยออนไลน์..............................................

……………………………………………………………………………….…………………... ผู้ร้อง/โจทก์

ระหว่าง

……………………………………………………..…………………………………....…. ผู้ถูกร้อง/จำเลย

ข้าพเจ้า………………………………………..…………………………………………………...... ผู้ร้อง/โจทก์ เลขบัตรประจำตัวประชาชน/ เลขทะเบียนนิติบุคคล  -  -  -  - 

เชื้อชาติ................ สัญชาติ .................. อาชีพ...................................อยู่บ้านเลขที่...................................หมู่ที่..........ตรอก/ซอย.....................................ถนน..............................แขวง/ตำบล..................................

เขต/อำเภอ...............................จังหวัด.........................ไปรษณีย์...................โทรศัพท์..............................

โทรสาร..........................................ไปรษณีย์อิเล็กทรอนิกส์.......................................................................

ข้าพเจ้า………………………………………..……………………………………….…….... ผู้ถูกร้อง/จำเลย

บัตรประจำตัวประชาชน/ เลขทะเบียนนิติบุคคล  -  -  -  - 

เชื้อชาติ................ สัญชาติ .................. อาชีพ...................................อยู่บ้านเลขที่...................................หมู่ที่.........ตรอก/ซอย.........................ถนน................................แขวง/ตำบล.............................................

เขต/อำเภอ..............................จังหวัด...........................ไปรษณีย์...................โทรศัพท์.............................

โทรสาร..........................................ไปรษณีย์อิเล็กทรอนิกส์.......................................................................

ขอทำบันทึกข้อตกลงหรือสัญญาประนีประนอมยอมความมีข้อความตามที่จะกล่าวต่อไปนี้

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ข้าพเจ้าสมัครใจเข้าร่วมการไกล่เกลี่ยข้อพิพาท และได้ลงลายมือชื่อไว้เป็นสำคัญ

.................................................................. ผู้ร้อง/โจทก์

................................................................. ผู้ถูกร้อง/จำเลย

คู่กรณีได้ลงลายมือชื่อต่อหน้าข้าพเจ้า

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