Western Australian Consolidated Regulations Western Australian Consolidated Regulations[Reg. 4]
Form 1
Industrial Relations Act 1979 2
IN THE WESTERN AUSTRALIAN INDUSTRIAL COMMISSION 4
No. .................................... of 20.........
BETWEEN
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Appellant.
and
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Respondent.
NOTICE OF APPEAL TO FULL BENCH FROM A DECISION OF THE REGISTRAR
1. Take notice that the abovenamed appellant hereby appeals against the
decision of the Registrar dated the ........................ day of
........................ 20.......
2. The matters appealed against should be set aside or varied in the following
manner —
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3. The grounds of appeal are —
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(Here set out with particularity the grounds of appeal on each matter)
Dated this ............................. day of
....................................................... 20.........
Affix seal where necessary.
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Appellant.
Filed in my office this ......................... day of
........................................ 20.........
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Registrar.