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Prescribed Form 13

Notice of Appeal of a Decision of a Member Appeals Committee

Notice of Appeal of a Decision of a Member Appeals Committee

Prescribed Form 13

  • Member Details

  • If Applicable
  • A copy of your submission will be emailed to this address.

  • Decision of the Member of Appeals Committee

  • Date Format: DD slash MM slash YYYY
    Enter the date of decision made by the DC in respect of your challenge.
  • Please submit a copy of your Notice of Suspension and the Decision made by the DC together with this Notice.

  • Representation

  • Jurisdiction

    The jurisdiction of the Appeals Tribunal is set out in section 9 of the Football NSW Grievance and Disciplinary Regulations (Regulations). The Appeals Tribunal will only hear a matter if it has exhausted the Association Member’s own grievance or disciplinary rules and regulations (see section 9.5 and 9.2 of the Regulations).
    You must select at least one of the grounds listed in section 9.2 of the Regulations.
  • COMPULSORY: Documentation to demonstrate that the matter has been exhausted in accordance with the member’s Association’s own Disciplinary Rules and Regulations must be provided.

  • Affected Party

  • Relief Sought

  • Notes:

    1. Please submit this form within 7 working days of the issuance of the decision of the Associations Appeals Committee.

    2. Please lodge a fee of $500 together with this Notice. Payment can be made by cheque or direct debit into Football NSW’s bank account. Bank: National Aust Bank Ltd, Account Name: Football NSW Limited, BSB: 082-356, Account Number: 14-055-1058. Please file receipt of payment into this account with the Tribunal Administrator at [email protected]

    3. Participants should read and consider sections 9, 10 and 13 of the Regulations prior to signing and lodging this Notice to Football NSW.

    4. If Football NSW does not receive a properly completed Notice by the time specified in paragraph 1 together with the $500 fee, you are deemed to have waived your right to appeal the decision to the Appeals Tribunal.

    5. Capitalised words used in this document are defined in the Regulations.

    6. Where the documents to be provided exceed fifty (50) pages in total, the Member must deliver to the offices of Football NSW four (4) hard copies of those documents by the date prescribed therein.

  • Submission

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