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Prescribed Form 07

Prescribed Form 07 – Notice of Appeal – Challenging a Decision on the basis of Mistaken Identity in a Match Official Incident Report (Section 7.4)

  • Your Details

  • Match Details

  • Example: National Premier Leagues NSW Men's
  • Example: National Premier Leagues NSW Men's = 1st
  • Date Format: DD slash MM slash YYYY
  • :

  • Submission

  • 1. I declare that the following Participant of my Club was responsible for the Offence and the Suspension issued against me should be transferred across to the Participant mentioned below:
  • 2. I declare that the information in this statement is accurate and to the best of my knowledge.
  • 3. I acknowledge that I may be charged with Misconduct if it is established that the contents of this statement are incorrect and amount to an abuse of process.
  • Notes:
  • 1. Please submit this form within (7) working day after the issuance of Football NSW's decision
  • 2. In addition to submitting this form, please submit the following documents at the same time:
  • a. pay to Football NSW the application fee of $500; and
  • b. Any other evidence which may support your challenge.
  • 3. Participants should read and consider section 7.4 prior to signing and lodging this form with the Appeals Tribunal.
  • 4. If Football NSW does not receive properly completed forms by the time specified in paragraph 1, you are deemed to have committed the Offence and will be issued with a Notice of Suspension.
  • 5. Capitalised words used in this document are defined in the Regulations.

  • Submitter Details

FOOTBALL NSW ASSOCIATIONS