1964_SMALL_CLAIMS_TRIBUNAL_(FORMS)_RULES — Page 15

1988 Ed.]

Small Claims Tribunal (Forms) Rules

[CAP. 338

C 15

[Subsidiary]

FORM 9

[s.28]

表格九

【條例第28條〕

SMALL CLAIMS TRIBUNAL ORDINANCE

小額錢債審裁處條例

(Chapter 338)

(香港法例第338章)

APPLICATION FOR LEAVE TO APPEAL ON POINT OF LAW 基於法律論點而申請批准提出上訴之申請書

[title as in Form [] [標題部份如表格一所示

To The High Court.

呈高院原訟庭:

1,(a)

本人(甲)

a party to this claim,

,乃本聲請案當事人之一,

pursuant to section 28 of the Small Claims Tribunal Ordinance do hereby apply for leave to appeal 兹根據小額錢債審裁處條例第28條之規定,申請批准提出上訴, against the *award/order by 以反對審裁官

made in respect of this claim on the

該案之聆訊日期為

九

Adjudicator, 對本案所作出之*裁決/命令 day of....

19 年

月

步

日

。

The grounds on which I desire to appeal are that-- 本人擬提出上訴之理由如下

*the *award/order is erroneous in point of law in that---(b)

*該項*裁決/命令在法律論點上係屬錯誤,其理由如下--(乙)

1.

2. 二 3. 三 4. 四

*the *award/order is outside the jurisdiction of the tribunal in that---(c) *該項*裁決/命令係在審裁處審裁權力範圍之外,其理由如下——(丙)

1.

2.

3.

4.

四

Dated this

day of

19

日期:一九

年

月

日

(Signature of Applicant). (申請人簽署)

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