Document ID: chunk:federal_register_of_legislation:F2025C00017:schedule:1:p3
Version: federal_register_of_legislation:F2025C00017
Segment Type: schedule
Provision Reference: sch 1 (pt 3/7)
Character Range: 161922–164842

by reason of which the applicant will seek to satisfy the Tribunal that, for the purposes of section 101A or 101B of the Act, he or she has a sufficient interest).

     3. I am dissatisfied with the giving of the notice by the Commission because:
   4. Particulars of the facts and contentions upon which I intend to rely in support of the application for review, and a statement of the issues as I see them, are attached.
   5. My address for service for the purpose of regulation 21 of the Competition and Consumer Regulations 2010 is (insert address in Australia at which documents may be served for the purpose of proceedings).
   6. Documents may be served on me at (insert electronic address at which documents may be served for the purpose of proceedings—this is optional and does not replace the need to provide an address in Australia at paragraph 5).

    Dated this day of 20 .

Signed by/on behalf of the applicant

...........................................................
(Signature)

...........................................................
(Full Name)

...........................................................
                      (If applicant is a corporation, state position occupied in corporation by person signing). (If signed by solicitor for applicant this fact should be stated).

DIRECTIONS

   1. If an address is to be provided in this form, an electronic address may be provided in addition to the address required.

Form JA Application to tribunal for review
(subregulation 20A(1))

Application to tribunal for review
(Title)

PLEASE FOLLOW DIRECTIONS ON BACK OF THIS FORM

Name of applicant:

Address of applicant:
(If the Applicant is a corporation, give the corporation's name and address, not the name and address of an officer of the corporation).
  1. I apply to the Australian Competition Tribunal
     * under subsection 44K(1) of the Competition and Consumer Act 2010, for a review of the declaration of a service by the designated Minister, (full name and designation of the designated Minister), under subsection 44H(1) of the Act;
     * under subsection 44K(2) of the Competition and Consumer Act 2010, for a review of the decision by the designated Minister, (full name and designation of the designated Minister), under subsection 44H(1) of the Act, not to declare a service;
     * under subsection 44L(1) of the Competition and Consumer Act 2010, for a review of the decision by the designated Minister, (full name and designation of the designated Minister), under subsection 44J(3) of the Act, not to revoke the declaration of a service;
     being the service described below.
     2. I am
       * the provider.
       * the person who applied for the declaration recommendation.
3. Brief description of the service:
4. Facts and contentions on which I intend to rely:
5. Issues as I see them:
6. Address for service of documents:
(An address for service must