12.—(1) The notice of application must state—
(a)the name and address of the applicant and, if available, that person’s telephone number, fax number and email address,
(b)the name and address of any representative appointed by the applicant and if available, that representative’s telephone number, fax number and email address,
(c)an address and if available, an email address, where notices and documents for the applicant should be sent,
(d)the date on which the applicant received written confirmation of the disputed decision,
(e)the reason or reasons for making the application,
(f)the result sought by the applicant, and
(g)the language in which the applicant, or the applicant’s representative if there is one, wishes to receive communications from the Tribunal.
(2) The notice of application must be accompanied by a copy of the notice of the disputed decision.
(3) The notice of application must be signed by the applicant, or by that person’s representative, if there is one.
(4) If the applicant wishes to ask the Tribunal to exercise the power under rule 14 to consider the application even though received by the Tribunal after the period specified by rule 11(1), the notice of application must—
(a)make this clear, and
(b)include a statement of the reasons why the Tribunal should exercise that power.