Fillable Form 10 Interactive 2012 (Sports Tribunal of New Zealand)

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Form 10 Interactive 2012 (Sports Tribunal of New Zealand)

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55
Rules of the Sports Tribunal of New Zealand
Notice of Appeal from Decision Denying Therapeutic
Use Exemption (TUE)
1. Details of the Applicant (person appealing the decision denying TUE)
Name
Postal Address
Contact Person for this application
Name
Position
Telephone (Wk) Mobile
Facsimile (Wk)
Email
2. Details of Respondent (organisation whose decision to deny TUE is being appealed)
Note: the Respondent will usually be Drug Free Sport New Zealand
Name
Postal Address
Telephone (Wk) (Hm)
Facsimile (Wk) Mobile
Email
3. Details of Representative
Please insert the details of your legal representative or other person, if any, who will be representing the
Applicant in these Proceedings.
Name of Representative
Firm/Company
Postal Address
Contact Person for this application
Name
Position
Telephone (Wk) Mobile
Facsimile (Wk)
Email
TITLE FIRST NAME SURNAME
STREET SUBURB
CITY
POSTCODE
TITLE FIRST NAME SURNAME
STREET SUBURB
CITY
POSTCODE
TITLE FIRST NAME SURNAME
TITLE FIRST NAME SURNAME
STREET SUBURB
CITY
POSTCODE
FORM 10
TITLE FIRST NAME SURNAME
Rules of the Sports Tribunal of New Zealand
56
4. Interested Parties
Are there any other persons or organisations who or which may be directly affected by, or who has
a suffi ciently close interest in, the outcome of these Proceedings? If so please insert their contact
details. Continue on a separate page if necessary.
Name
Postal Address
Contact Person (if an organisation)
Name
Position
Telephone (Wk) Mobile
Facsimile (Wk)
Email
Reason person(s) may be affected or have a suffi ciently close interest in outcome:
5. Jurisdiction
Specify the basis on which the appellant has a right to appeal the decision denying the TUE.
(i.e. give details of the relevant rules or regulations which give a right of appeal to the Sports Tribunal.
eg: Rule 15.4.1 of the Sports Anti-Doping Rules 2009. If there is some other jurisdictional basis for the
right of appeal specify it).
6. Urgency
Are there grounds for suggesting this appeal should be heard on an urgent basis?
Yes No
If yes, please describe below the reasons why you consider there is urgency in hearing the appeal.
TITLE FIRST NAME SURNAME
STREET SUBURB
CITY
POSTCODE
TITLE FIRST NAME SURNAME
57
Rules of the Sports Tribunal of New Zealand
7. Decision being appealed
Please provide details of the decision which you are appealing against, including which committee or
person within the Respondent made the decision, the date it was made, and the nature of the decision.
Please also attach a copy of the decision being appealed to this application.
8. Grounds of Appeal
Specify the grounds or reasons upon which you are appealing the decision denying the TUE and
specify why or how you consider the decision of the Respondent was wrong or incorrect (continue
on a separate page if necessary). Please also attach to this Notice of Appeal any statements of
evidence from your witnesses (if any) and exhibits and documents which you intend to reply upon
in this appeal.
9. Outcome Sought
Please specify the outcome you are seeking from the appeal.
Signed Date
DAY / MONTH / YEAR
Rules of the Sports Tribunal of New Zealand
58
Filing and Service Instructions
1. This application should be signed and fi led with the Registrar of the Sports Tribunal at the address
given below.
2. The application should be accompanied by a copy of the applicable rules or regulations which
give the Appellant jurisdiction to bring the appeal to the Sports Tribunal as well as a copy of
the decision of the respondent denying the TUE which is being appealed against. Copies of all
supporting documents upon which the Appellant relies (including witness statements) should also
be attached to this application.
3. The Appellant is to serve a copy of this Application and attachments on the Respondent as soon
as practical after the original has been fi led with the Tribunal. After serving the documents on the
Respondent, the Appellant is to complete and forward the Notice of Service (attached to
this Form) to the Tribunal.
The Registrar
Sports Tribunal
PO Box 3338
WELLINGTON
Ph: 0800 55 66 80
Fax: 0800 55 66 81
Email: info@sportstribunal.org.nz
Web: www.sportstribunal.org.nz
59
Rules of the Sports Tribunal of New Zealand
Notice of Service
(to be attached to Form 10)
I,
hereby certify that on the day of 20
I served upon the Respondent named in the attached Notice of Appeal from Decision Denying Therapeutic Use
Exemption (TUE) a true copy of the Notice of Appeal from Decision Denying Therapeutic Use Exemption (TUE)
and supporting documents.
Attached hereto is a copy of the Notice of Appeal from Decision Denying Therapeutic Use Exemption (TUE) and
supporting documents which I served on the Respondent. I have initialled each page of the Notice of Appeal
from Decision Denying Therapeutic Use Exemption (TUE) and supporting documents as evidence that these are
true copies of the documents so served.
Dated the day of 20
Signed
TITLE FIRST NAME SURNAME
DAY MONTH YEAR
DAY MONTH YEAR
Rules of the Sports Tribunal of New Zealand
60
Notice to be Endorsed on Notice of Appeal From
Decision Denying Therapeutic Use Exemption (TUE)
Served on Respondent
To (Respondent)
Address
This is a copy of the Notice of Appeal from Decision Denying Therapeutic Use Exemption (TUE) fi led by the
Appellant with the Sports Tribunal.
You have seven working days from the date the Notice of Appeal From Decision Denying Therapeutic Use
Exemption (TUE) is served on you to fi le a Statement of Defence To Appeal From Decision Denying Therapeutic
Use Exemption (TUE) (Form 11) with the Sports Tribunal.
If you have questions regarding this matter, please contact the Registrar of the Sports Tribunal on 0800 55 66 80
or email on info@sportstribunal.org.nz.
STREET SUBURB
CITY
POSTCODE
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Form 10 Interactive 2012 (Sports Tribunal of New Zealand)

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Completed 18 July 2020

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