Clone of Complaints Form

Name*
Phone Number*
Email*
Address 1
Address 2
City
Country
State/Province
Postal Code
Affiliation (Club/Organisation):
Regional Sports Organisation
National Sports Organisation
Age*

NoneUnder 1818 years or over
If you are making an appeal for someone else:

ie: Parent or Guardian
Name of person complaining on behalf of
Telephone
Email
A member may appeal a decision made by a regional association to Table Tennis NZ only on the following grounds:

a. the penalty/sanction was incorrect, or excessive.

A member may appeal a decision made by Table Tennis NZ only on the following grounds:

a. the penalty/sanction was incorrect, or excessive.
Who made the decision?*

Regional AssociationTTNZ
Include a copy of the decision being appealed .*

Cancelof
Include a summary of the reasons why the member wishes to appeal the decision *
Indicate whether the member wishes to appeal part of the decision (and if so, the grounds for doing so) or have a reinvestigation of the entire matter. *
Appellant
Name*
Todays date*
Signature*
Should be Empty:

Affiliation (Club/Organisation):