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1. Title and Court Reference: Identifies the court, case number, and parties involved
2. Parties: Full names and details of all parties to the mediation
3. Recitals: Background information including date of mediation and mediator details
4. Terms of Settlement: The agreed terms reached during mediation
5. Costs: Agreement regarding payment of costs
6. Execution: Signature blocks for parties and their representatives
1. Confidentiality Provisions: Used when specific confidentiality terms are required beyond standard mediation confidentiality
2. Payment Terms: Included when settlement involves payment schedules or specific payment conditions
3. Jurisdiction Clause: Required for cross-border disputes or when parties are in different jurisdictions
1. Schedule of Payments: Details of any payment arrangements agreed during mediation
2. Schedule of Assets: When settlement involves transfer or division of assets
3. Mediator's Certificate: Confirmation from mediator that agreement was reached in mediation
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