(PF13) - Appeal of an Association's Appeals Committee

NOTICE OF APPEAL OF A DECISION OF A
MEMBER APPEALS COMMITTEE
Prescribed Form 13
MEMBER DETAILS
Member*
FFA Number
If applicable
E-mail Address*
A copy of your submission will be emailed to this address.
DECISION OF THE MEMBER APPEALS COMMITTEE
Date of Member Appeals Committee's Decision*

DayMonthYear
Please attach a copy of the decision of the Member Appeals Committee*

Upload a File
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REPRESENTATION
YesNo
Please provide name and contact details of Club representative
YesNo
Please provide name and contact details of the legal representative
JURISDICTION
YesNo
DETAILS OF APPEAL
A party was not afforded a reasonable opportunity to present its caseLack or excess of jurisdiction of a Body or a Member Appeals CommitteeThe decision of a Body or a Member Appeals Committee was affected by actual biasThe decision was one that was not reasonably open to a Body or a Member Appeals Committee having regard to the evidence before the Body or the Member Appeals CommitteeSeverity, only where the decision of a Body or a Member Appeals Committee imposed a sanction of at least:i) a Fixture Suspension of six (6) or more Fixtures; orii) a Time Suspension of three (3) or more months; oriii) a fine of three thousand dollars ($3000) or more; oriv) a bond to be of good behaviour of three thousand dollars ($3000) or morev) a deduction, loss or ban on accruing six (6) or more competition points; orvi) exclusion, suspension or expulsion of a Club or Team from a competition; or.vii) relegation to a lower division; orleniency, but only in the case of an appeal brought by Football NSW or an appeal allowed by the Executive pursuant to section 9.2(h)
Please provide relevant facts and legal arguments that relate to each of the grounds of appeal that you wish to rely on.
AFFECTED PARTY
YesNo
Please provide the name and contact details of the affected party.
RELIEF SOUGHT
Please describe the relief that you are seeking*
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 tribunal@footballnsw.com.au.

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
Your name*

First NameLast Name
I certify that the information entered above is true and correct and was entered by myself.
Submission Date*

DayMonthYear
Should be Empty: