Notice of Appeal to the High Court (modification/renewal of Non-Derogating Control Orders)

Published date21 March 2018
Subject MatterAdministrative Court forms
AC010 Control Order Appeal (08.16) 1 of 6
Please complete this form in English. It is in your interest to complete
this form as thoroughly as possible, and state all of your grounds in order
for your appeal to be dealt with efficiently.
Where there is a check box , put a tick () in it to show your answer.
Please see Section 10 of this form for your deadline to appeal
You must send with this form a copy of the order/decision that you seek
to challenge.
Notice of Appeal to the High Court
(Modification/Renewal of Non-
Derogating Control Orders)
Section 1 – Controlled Person’s Information
A
B
C
D
E
Your Surname or family name
Your other names
Address where you can be contacted
Telephone Number
Do you have a legal representative?
F Do you require anonymity during
your appeal?
Yes No
Yes No
Your legal representative should complete Section 2 on page 2
G Administrative Court Reference
Number of original control order
proceedings (if any)
Seal
Administrative Court Reference Number:
(For court use only)

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