Application For Leave And For Judicial Review Page 2
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4The applicant seeks leave of the Court to commence an application for judicial
review of:
(set out the date and details of the matter – the decision or order made, measure
taken or question raised – in respect of which a judicial review is sought)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
The decision was communicated to the Applicant on:
_______________________
(Insert the date on which the applicant was notified or otherwise became aware of the matter.)
The name of the tribunal / decision maker is:
________________________________________________
________________________________________________
The address and telephone number of the tribunal / decision maker is:
________________________________________________
________________________________________________
________________________________________________
The name of each person who was on the tribunal is:
________________________________________________
________________________________________________
The tribunal / decision maker’s file number(s) is (are):
________________________________________________
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