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GOVERNMENT RAILWAYS (APPEAL BOARD) REGULATIONS 1965 - SCHEDULE

Form A

Government Railways Act 1904

Government Railways (Appeal Board) Regulations 1965

Reg. 31

NOTICE OF APPEAL

TO         CHIEF EXECUTIVE OFFICER,
        PUBLIC TRANSPORT AUTHORITY:

I, .............................................................. of .......................................................... employed (or lately employed) in the Public Transport Authority of Western Australia at ................................................... as ..................................................... and having been continuously employed with the Authority for not less than 6 months, do hereby appeal against a decision of 1 ............................................... given on the ............................. day of ................................................... 20........... whereby I was 2 ...................................................................................................... for an offence alleged to have been committed by me, namely (state particulars)
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................

I was at the material time a member of the ................................................ Union.

I desire to give notice, without prejudice, that at the hearing of the appeal I intend to dispute — *

            (a)         the facts giving rise to the decision and the severity of the punishment;

            (b)         the severity of the punishment only.

* Delete whichever of paragraphs (a) or (b) is not required.

Signature ......................................................................

Address ........................................................................

Date .....................................................

1. Appellant to insert title of officer against whose decision he appeals.

2. Appellant to insert — 

        (1)         fined; or

        (2)         reduced to a lower class or grade; or

        (3)         dismissed; or

        (4)         suspended from employment in such circumstances as to involve loss of pay; or

        (5)         transferred by way of punishment involving loss of transfer expenses,

as the case may be.

        [Form A inserted in Gazette 10 Jun 1977 p. 1803; amended in Gazette 12 Oct 2004 p. 4756 and 4757.]

Form B

Government Railways Act 1904

Government Railways (Appeal Board) Regulations 1965

Reg. 32(1)

NOTICE OF HEARING OF APPEAL

NOTICE is hereby given that an appeal has been lodged by ................................ ........................................................ employed (or lately employed) by the Public Transport Authority of Western Australia at ......................................................... ............................................................ as ............................................................... against the decision of ....................................................................... given on the ....................................... day of ........................................ 20............

This is to notify you that the appeal will be heard at ............................................. on the ..................................... day of ............................................... 20................ at ............................. a.m./p.m.

The .............................................................. industrial union of which the appellant is or was at the material time a member is requested to appoint a member of the Appeal Board pursuant to section 78(1)(c)(i) of the Act by notice in writing in the form of Form D attached hereto which shall be lodged with the Authority prior to the seventh day immediately preceding the date fixed for the hearing of the appeal.

Copy to Public Transport Authority of Western Australia

............................................................. Industrial Union

........................................................................ Appellant

Dated at .................................... this ................ day of .......................................... 20................

Chairman,
Appeal Board.

        [Form B inserted in Gazette 17 Dec 1976 p. 5013; amended in Gazette 12 Oct 2004 p. 4756 and 4757.]

Form C

Government Railways Act 1904

Government Railways (Appeal Board) Regulations 1965

Reg. 32(2)

NOTICE OF HEARING OF APPEAL

NOTICE is hereby given that an appeal has been lodged by ................................ ..................................................... employed (or lately employed) by the Public Transport Authority of Western Australia at ......................................................... .................................................................. as ......................................................... against the decision of ........................................................................................... given on the ............................... day of .................................................. 20..........

This is to notify you that the appeal will be heard at ............................................. ............................................. on the ............................................................. day of ................................................................. 20.......... at ...................... a.m./p.m.

As there is no industrial union of which the appellant is or was at the material time a member the appellant is requested to appoint a member of the Appeal Board pursuant to section 78(1)(c)(ii) of the Act by notice in writing in the form of Form F (attached hereto) which shall be lodged with the Authority prior to the day immediately preceding the date fixed for the hearing of the appeal.

Copy to Public Transport Authority of Western Australia.

....................................................................... Appellant.

Dated at .................................... this ................ day of .......................................... 20................

Chairman,
Appeal Board.

        [Form C inserted in Gazette 17 Dec 1976 p. 5014; amended in Gazette 12 Oct 2004 p. 4756 and 4757.]

Form D

Government Railways Act 1904

Government Railways (Appeal Board) Regulations 1965

Reg. 32A

NOTICE TO INDUSTRIAL UNION TO APPOINT MEMBER

TO CHAIRMAN OF THE APPEAL BOARD:

This is to notify you that the .................................................................................. industrial union acting pursuant to section 78(1)(c)(i) of the Act has appointed ............................................. as a member of the Appeal Board for the hearing of the appeal to be held at .................................................. on the ............................. day of ................................................ 20.............. at ............................ a.m./p.m. lodged by ............................................................................................... employed (or lately employed) by the Public Transport Authority of Western Australia at ................................................................................................................................. as ............................................................................................................................ against the decision of ............................................................................................ given on the ............................. day of ................................................. 20.............

......................................................... (President)

(signed)

......................................................... (Secretary)

(signed)

I .............................................................................................................................. hereby consent to act as a member of the Appeal Board.

.............................................................
Signature of appointee.

        [Form D inserted in Gazette 17 Dec 1976 p. 5014; amended in Gazette 12 Oct 2004 p. 4757.]

Form E

Government Railways Act 1904

Government Railways (Appeal Board) Regulations 1965

Reg. 32B

NOTICE TO APPELLANT TO APPOINT A MEMBER

To

This is to notify you that the industrial union of which you are or were at the material time a member has been notified of the hearing of your appeal to be held at ..................................... on the ....................... day of ................................. 20......... at ............ a.m./p.m. but has failed to appoint a member to the Appeal Board prior to the seventh day immediately preceding the date fixed for the hearing of the appeal.

You may, pursuant to section 78(1)(c)(ii) of the Act, appoint a person as a member of the Appeal Board to hear the appeal by notice in the form of Form F attached hereto which shall be lodged with the Authority prior to the day immediately preceding the date fixed for the hearing of the appeal*.

.............................................................
Chairman Appeal Board.

*         Failure by appellant to appoint a person to represent him on the board, within the time prescribed, will cause the appeal to lapse as determined in section 80(a) of the Act.

        [Form E inserted in Gazette 17 Dec 1976 p. 5015; amended in Gazette 12 Oct 2004 p. 4757.]

Form F

Government Railways Act 1904

Government Railways (Appeal Board) Regulations 1965

Reg. 32C

NOTICE OF APPOINTMENT OF MEMBER BY APPELLANT

TO CHAIRMAN APPEAL BOARD

This is to notify you that I ...................................................................................... the appellant in the appeal to be heard at ............................................................... ................................................... on the ...................... day of ................................ 20................ at ................ a.m./p.m. acting under section 78(1)(c)(ii) of the Act hereby appoint ........................................................................... of ....................... .............................................................. as a member of the Appeal Board.

.............................................................
(Signed)
Appellant.

        [Form F inserted in Gazette 17 Dec 1976 p. 5015; amended in Gazette 12 Oct 2004 p. 4757.]



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