Application to appeal against a decision of the landlord
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50. Where a tenant makes an application under section 64(6) (Part 1 appeals) of the 2006 Act, the application must—
(a)state—
(i)the name and address of the tenant;
(ii)the name, address and profession of any representative of the tenant;
(iii)the name, address and registration number (if any) of the landlord;
(iv)a copy of the landlord’s conditional consent or refusal or details of it where not in writing; and
(v)the details of the works which the tenant has requested the landlord to carry out; and
(b)be signed and dated by the tenant or a representative of the tenant.