Notes:
1. Please submit this form within 7 working days of the issuance of the decision of the GPT.
2. Please lodge a fee of $750.00 together with this Form. Payment can be made by cheque or direct debit into BDSFA's bank account. Bank: Commonwealth Bank Ltd, Account Name: Blacktown & Districts Soccer Football Association, BSB: 062 121, Account Number: 00909770. Please file receipt of payment into this account with the Tribunal Administrator at admin@bdsfa.com
3. Participants should read and consider sections 9, 10 and 13 of the Regulations prior to submitting this Notice to BDSFA
4. If BDSFA does not receive a properly completed Notice by the time specified in paragraph 1 together with proof of payment of the $750 fee, you are deemed to have waived your right to appeal the decision of the GPT.
5. Capitalised words used in this document are defined in the Regulations.