Form 1
(Act ss 20(1), 21(1); Regulations reg 9)

Before the Defence Force Discipline Appeal Tribunal

No      of  20

 [Full name but not rank]
Appellant

Chief of [Navy, Army or Air Force]
Respondent

Appeal / Application for leave to appeal / Application for extension of time

1.	The appellant

•	appeals
•	applies for leave to appeal
•	applies for an extension of time to appear

from an order of

•	a court martial
•	a Defence Force Magistrate
•	a member of the Tribunal

made on [date].

2.	The grounds of the appeal/proposed appeal are:

(a)	…
(b)	… etc.

DATED the             day of                         20

………………………..

Appellant [or solicitor for the appellant]
Address:
Telephone:
Fax:
Email:
TO:	The Registrar
	Defence Force Discipline Appeal Tribunal
	C/- Federal Court of Australia
	Commonwealth Law Courts Building
	Childers Street
	Canberra ACT 2601

OR TO:  [A person specified in reg 9(1) of the Regulations ]