83 65

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83.
Appeal notice (O. 65 r. 10)
Supreme Court of Western Australia
General Division
No:
Appeal notice
Parties to the appeal
Appellant
Respondent
Primary court’s decision
Primary court
Case number
Parties
Date of decision
Judicial officer
at
Decision details
Appeal details
Notice of appeal
The appellant appeals to the Supreme Court (General Division) against the above
decision.
Act that allows the
appeal1
section:
Grounds of appeal2
1.
Notice to the
respondent
If you want to take part in this appeal you must lodge a Form No. 85 under the Rules of
the Supreme Court 1971 within 7 days after you are served with this notice and serve it
on the appellant.
Last date for
appealing
Last date:
Is an extension of time needed? Yes/No
Leave to appeal
Is leave to appeal needed? Yes/No
If yes, state the Act and section requiring leave:
Legal representation Is the appellant legally represented in this appeal? Yes/No 3
Is the appellant applying for legal aid? Yes/No
Appellant’s details
Appellant’s
geographical
address3
Appellant’s service
details3
Signature and date
Signature of
appellant or lawyer
Date:
Appellant/Appellant’s lawyer
Notes to Form No. 83 —
1.
State the short title of the Act under which the appeal is being made.
2.
Set out the grounds in numbered paragraphs.
3.
Must be in accordance with Order 71A.
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