| (Regulation 4(4)) |
| SAINT LUCIA |
| BETWEEN: |
| Appellant |
| And |
| Respondent |
| NOTICE OF APPEAL |
| Take notice that (1) ........................................, a member of Cooperative Society/a person aggrieved by the decision of the Registrar/Arbitrator, |
| (2) ........................................ being dissatisfied with the decision of the Registrar/Arbitrator dated ........................................ 20 ............ of which I received notice on the .................. day of ........................................ 20 ................. |
| (3) That ................................................................................ |
| hereby appeals to the Cooperative Societies Appeals Tribunal for the reasons set out in paragraph 5 below and will at the hearing of the appeal seek a decision to the Tribunal that |
| (4) ................................................................................ |
| Reasons for Appeal |
| (Insert FULLY here the reasons for the Appeal) |
| (a) ................................................................................................................... |
| (b) ................................................................................................................... |
| (c) etc. ............................................................................................................. |
| All notices or other documents relating to this appeal may be sent to me at (5) ................................................................................................................... |
| Dated this ............................ day of ............................ 20 |
To: The Secretary The Cooperative Societies Appeals Tribunal |
| Note: |
| (1) | Name of appellant |
| (2) | Office/occupation |
| (3) | Insert substance of the decision appealed against |
| (4) | State order sought from the Tribunal |
| (5) | Address |