The NCIS (Senior Police Members) (Appeals) Order 1998

SCHEDULE FORM OF NOTICE OF APPEAL TO THE NCIS APPEALS TRIBUNAL

1.  I, (name and number) was, on (insert date) and while holding the rank of in NCIS, found to have committed the disciplinary offence(s) mentioned in the first column below with which I had been charged and was punished therefor as mentioned in the second column below, [such punishment(s) being varied on appeal to the punishment(s) mentioned in the third column below]:

Offence proved	Punishment therefor	Varied on appeal to
1.	1.	1.
2.	2.	2.
3.	3.	3.

2.—(a) I was notified in writing of the said punishment(s) on (insert date).

(b) The hearing of the charge(s) was conducted and the finding(s) reached by [a tribunal established under regulation 12(1) of the NCIS (Discipline) (Senior Police Members) Regulations 1998].

3.  I desire to appeal against [the finding(s) and punishment(s) on charges numbered above] [the punishment(s) on charges numbered above but not against the relevant finding(s)].

4.  I [desire] [do not desire] to submit additional evidence not taken into consideration at the original hearing of the charge(s) against me.

5.  I [annex] [do not annex] a concise statement (marked A) of the grounds on which I desire to appeal.

6.  I [annex] [do not annex] a statement (marked B) comprising either a list of the documents which I desire to submit in support of the appeal (other than documents produced at the original hearing) or a statement that I do not wish to submit any such documents.

7.  I [annex] [do not annex] a statement (marked C) comprising either a list of the names and addresses of the witnesses I desire to call in support of my appeal and a concise statement of the facts which each witness will prove or a statement that I do not desire to call any witnesses.

8.  I understand that any such statement as is referred to in paragraphs 5, 6 or 7 which is not annexed must be supplied to the Registrar within the period of 50 days beginning with the date mentioned in paragraph 2(a).

9.  [I was suspended on (insert date) and was still suspended immediately before punishment was imposed.]

10.  I declare that a copy of this notice of appeal and of any statement annexed thereto has been sent to the NCIS Service Authority.