- Please copy, complete and email all completed fields to [email protected]
- All fields are compulsory.
- Please note that information provided will be kept confidential and used in accordance with the Community Mediation Centres Act, Cap 49A, for the purposes of mediation and the Community Mediation Centre’s procedures thereof.
- By submitting the information, you consent to providing your details to the Community Mediation Centre (CMC).
- Under Sec 152(2) of the Criminal Procedure Code (Cap.68), should the referral be made by SPF and you subsequently fail or refuse to attend the mediation session, the Magistrate may dismiss any future complaints on the matter if you do not provide any reasonable grounds for such failure or refusal.
- This form will be referred by SPF within 3 working days if details are complete to CMC.
- Upon referral, CMC will contact all parties involved.
- This service is provided free of charge by SPF and the CMC.
PART I - TO BE COPIED, COMPLETED AND SENT TO: [email protected]
Police Report Number:
Name as in NRIC:
Address as in NRIC: