Form A2

Regional Resolution Global Solution
(NOTE: In preparation for filing of forms, Parties are advised to refer to the .my
DOMAIN REGISTRY’s (.my) Sensitive Domain Name Dispute Resolution Policy
(SNDRP), the Rules of the SNDRP and the Supplemental Rules of the Regional
Centre for Arbitration Kuala Lumpur.)
COMPLAINT TRANSMITTAL COVERSHEET
Attached is a Complaint that has been filed against you with the Regional Centre for
Arbitration Kuala Lumpur (the Centre) pursuant to the .my DOMAIN REGISTRY’s (.my)
Sensitive Domain Names Dispute Resolution Policy (the Policy), the Rules of the .my
DOMAIN REGISTRY’s (.my) Domain Name Dispute Resolution Policy (the Rules) and
the Supplemental Rules of the Centre (the Supplemental Rules) (collectively referred to as
the “Policy and Rules”).
The Policy and Rules are incorporated by reference into your Registration Agreement with
.my DOMAIN REGISTRY (735031-H) (hereinafter referred to as “.my DOMAIN
REGISTRY”), in accordance with which you are required to submit to and participate in a
Proceeding in the event that a third party (a Complainant) submits a Complaint to the
Centre, concerning a domain name that you have registered. The domain name(s) that
is/are the subject of the Complaint is in the document that accompanies this Coversheet.
You have no duty to act at this time. Once the Centre has checked the Complaint to
determine that it satisfies the formal requirements of the Policy and Rules, and the Centre
have received the necessary payment from the Complainant, the Centre will forward an
official copy of the Complaint to you after the Chairman of the Reference Panel has verified
that the Complaint falls within the scope of the SNDRP. You will then have 15 Working
days within which to submit a Response to the Complaint in accordance with the Policy
and Rules to the Centre and the Complainant. Should you so desire, you may wish to seek
the assistance of legal counsel to represent you in the Proceeding.
Please provide your contact address (mailing address, e-mail address, telephone number
and fax number) to enable the Centre to transmit the hard copy of the Complaint and other
communications in the Proceeding.
The Policy and Rules governing this Proceeding can be found at:



.my DOMAIN REGISTRY’s (.my) Sensitive Domain Name Dispute Resolution
Policy (SNDRP)
The Rules of .my DOMAIN REGISTRY’s (.my) Sensitive Domain Name Dispute
Resolution Policy (Rules of SNDRP)
The Supplemental Rules of the Centre
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Alternatively, you may contact the Centre to obtain any of the above documents. The
Centre can be contacted at Bangunan Sulaiman, Jalan Sultan Hishamuddin, 50000
Kuala Lumpur, Malaysia, by telephone at +603 2271 1000, by fax at +603 2271 1010
or by e-mail at [email protected].
By submitting this Complaint to the Centre the Complainant hereby agrees to abide and be
bound by the provisions of the Policy, Rules and Supplemental Rules.
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Regional Resolution Global Solution
Form A2-SNDRP
KLRCA service to Respondent
Please use this form to submit a Complaint to the Regional Centre for Arbitration Kuala
Lumpur (the Centre) pursuant to .my DOMAIN REGISTRY’s (.my) Sensitive Domain
Name Dispute Resolution Policy (SNDRP), and the Rules of the SNDRP and the
Supplemental Rules of the Centre.
(Note: In case any section of the form is not applicable, please put N/A)
COMPLAINT IN ACCORDANCE WITH THE .my DOMAIN
REGISTRY’S (.MY) SENSITIVE DOMAIN NAME DISPUTE
RESOLUTION POLICY
This Complaint is submitted for decision in accordance with the .my DOMAIN
REGISTRY’s (.my) Sensitive Domain Name Dispute Resolution Policy (the Policy), the
Rules of the .my DOMAIN REGISTRY’s (.my) Sensitive Domain Name Dispute
Resolution Policy (the Rules) and the Supplemental Rules of the Regional Centre for
Arbitration Kuala Lumpur (the Supplemental Rules).
1. DETAILS OF PARTIES: (Rule 5.2 Rules of the SNDRP)
A. AUTHORISED REPRESENTATIVE
Name
:
Address :
E-mail Address
Tel. No. :
Fax No. :
:
B. RESPONDENT: (Rule 4.3 (ii) Rules of the SNDRP)
Name
:
Address :
Tel. No. :
Fax. No. :
E-mail Address
Legal Status
:
:
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Place of Incorporation
:
Local Presence Registrant:
Business Registration Number (ROC/ROB/ROS No.):
(attach a copy of the Certificate of Registration)
Registered office :
[Indicate reasons why the person/entity identified as the Respondent has been so
identified] (All supporting documents and evidence should be attached to this
application with an index therefore.)
2. PREFERRED METHOD OF COMMUNICATIONS BY THE COMPLAINANT:
a) ELECTRONIC FORM
Method
Address
Contact person
:
:
:
Electronic mail
[enter one email address only]
[identify name of one contact person]
b) HARD COPY
Method
Address
Contact person
3.
:
:
:
[Specify by Registered post, Courier or Hand Delivery]
[enter one address]
[identify name of one contact person]
DOMAIN NAME(S) (Rule 4.3 (iii) Rules of the SNDRP)
4. THE GROUNDS ON WHICH THE COMPLAINT IS MADE: (Rule 4.3 (iv) Rules
of the SDNDRP)
(Word limit shall be 5,000 words maximum.)
state the grounds on which it is made, specifically, as to why the Domain Name should
be considered as being a Sensitive Name or otherwise falling within any one or more
of the categories detailed in Paragraph 5 of the SNDRP
5. REMEDIES SOUGHT (Paragraph 10 SNDRP)
[Specify deletion of registration of the Domain Name.]
6. OTHER LEGAL PROCEEDINGS (Please attach any supporting documentation.)
(Rule 4.3 (v) Rules of the SNDRP)
[Indicate whether there are legal proceedings that have been commenced or terminated
in connection with or relating to any of the domain name(s) that are the subject of the
Complaint.]
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7. REGISTRATION AGREEMENT INCORPORATING THE .MY DOMAIN
REGISTRY’S DOMAIN NAME DISPUTE RESOLUTION POLICY (A copy
must be attached to this Complaint.)
8. PAYMENT (Rule 19 Rules of the SNDRP)
[In the amount of RM300 and it is non-refundable. Please specify the method of
payment.]
9. CERTIFICATION (Rule 4.5 (vi) Rules of SNDRP)
The Complainant agrees that its claims herein and any remedy sought in respect of the
registration or use of the said Domain Name (i.e. the sensitive name dispute) or its
resolution, shall be solely against the Registrant and accordingly, the Complainant
waives all other claims and remedies against .my DOMAIN REGISTRY, KLRCA and
its Panel members, as well as their respective officers and employees."
"Further thereto, the Complainant certifies that the information contained in this
Complaint is, to the best of the Complainant's knowledge, complete, current, accurate
and true, that this Complaint is not being presented for any improper purpose and that
the assertions in this Complaint are warranted under these Rules and under all
applicable law, as it now exists or as it may be extended by a good faith and reasonable
argument.”
“The Complainant, in consideration of this sensitive name dispute resolution procedure
made available by .my DOMAIN REGISTRY, hereby agrees and acknowledges to be
bound by the provisions set out in .my DOMAIN REGISTRY’s Sensitive Name
Dispute Resolution Policy, these Rules and the Supplemental Rules of the Provider
(“Policy and Rules”). Further thereto and also in consideration of the said sensitive
name dispute resolution procedure made available by .my DOMAIN REGISTRY, the
Complainant agrees, acknowledges and undertakes to indemnify .my DOMAIN
REGISTRY, KLRCA, its officers and employees, as the case may be, for any damages
or losses which they have suffered or will suffer as a result of all claims or actions
which are brought against .my DOMAIN REGISTRY as a direct or indirect result of
the sensitive name dispute or pursuant to the Policy and Rules.”
Submitted by,
Signature:
Name:
Capacity:
Date:
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