| FORM 6 |
| Award |
| In the matter of the Arbitration Act, and an arbitration between A.B. of ....................................... and C.D. of .................................................. |
| Whereas, in pursuance of an agreement in writing dated the ................................ day of .............................................., 20............, made between A.B. of ................................ and C.D. of ................................ , the said A.B. and C.D. have referred to me, X.Y., the matters in difference between them concerning (or as the case may be). |
| Now I, the said X.Y., having duly considered the matters submitted to me, do hereby make an award as follows— |
| I award— |
| (1) That ............................................................ |
| (2) That ............................................................ |
| (Signed) X.Y. |
| Arbitrator. |
| Dated the ...................................................... 20......... |