By email to casework@lcia.org

London Court of International Arbitration

70 Fleet Street

London

EC4Y 1EU

United Kingdom

Dear Registrar of the LCIA Court,

LCIA Reference number

We act on behalf of name of respondent party.

We write in response to the Request for Arbitration submitted by name of claimant on date given in the Request and delivered to us by the claimant on date. [This Response includes a counterclaim on behalf of name of party which is set out below.]

This letter is the Response to the Request for Arbitration in accordance with Article 2 of the LCIA Rules of Arbitration (LCIA Rules).

As required by Article 2 of the LCIA Rules:

Respondent's full name and all contact details including postal and email address and telephone numbers, highlighting any omitted from the Request