NOTICE OF APPEAL OF A DECISION OF A GPT

NOTICE OF APPEAL OF A DECISION OF A DT
(SECTION 8.6)
Prescribed Form 13
MEMBER DETAILS
Full Name*

First NameLast Name
FFA Number
If applicable.
Member*
E-mail Address*
A copy of your submission will be emailed to this address.
DECISION OF DISCIPLINARY TRIBUNAL
Date of GPT Determination*

DayMonthYear
Copy of the decision of the GPT*

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REPRESENTATION
Do you wish to be supported by an Board/Executive Committee person of the Club?*

YesNo
Please provide name and contact details of Club representative
Do you wish to be supported by a lawyer?*

YesNo
Please provide name and contact details of the legal representative
JURISDICTION
Does the Appeals Tribunal have jurisdiction to hear this matter?*

YesNo
The jurisdiction of the Appeals Tribunal is set out in section 9.1 of the the CDSFA Judiciary and Disciplinary Regulations (Regulations). The Appeals Tribunal will only hear a matter in the following circumstances:

(a) An appeal of a decision made by the DT pursuant to section 8.2 of the Regulations (charges of Misconduct and Disrepute);

(b) An appeal of a decision made by the DT pursuant to section 8.3 of the Regulations (Grievances) subject to section 9.4 of the Regulations; and

(c) An appeal of a decision made by the DT pursuant to section 8.4 of the Regulations (Referral from the JC).

Further, the Participant must satisfy one or more grounds of appeal set out in section 9.2 of the Regulations.
Please state the grounds you wish to rely on.*

A party was not afforded a reasonable opportunity to present its caseLack or excess of jurisdictionThe decision of the Body was affected by actual biasThe decision was one that was not reasonably open to the Body having regard to the evidence before the BodySeverity, only where the decision of the Body imposed a sanction of at least:i) A Fixture Suspension of four (4) or more Fixtures; orii) A Time Suspension of three (3) or more months; oriii) A fine of one thousand five hundred dollars ($1500) or more; oriv) A loss of six (6) or more competition points; orv) Expulsion from a competition.
Please provide relevant facts and legal arguments that relate to each of the grounds of appeal that you wish to rely on.
AFFECTED PARTY
Is there another party potentially directly affected by your appeal? *

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 DT.

2. Please lodge a fee of $550 together with this Form. Payment can be made by cheque or direct debit into CDSFA’s bank account. Bank: Westpac Bank, Account Name: CDSFA Inc, BSB: 032082, Account Number: 113442. Please file receipt of payment into this account with the Tribunal Administrator at trent@footballcanterbury.com.au .

3. Participants should read and consider sections 8, 9 and 12 of the Regulations prior to submitting this Notice to the CDSFA.

4. If the CDSFA does not receive a properly completed Notice by the time specified in paragraph 1 together with the $550 fee, you are deemed to have waived your right to appeal the decision of the DT.

5. Capitalised words used in this document are defined in the Regulations.
SUBMISSION
Your name*

First NameLast Name
Digital Signature*

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

DayMonthYear
Should be Empty: