ACCOUNT_FIRST_NAME ACCOUNT_LAST_NAME

ACCOUNT_ADDRESS_SINGLE_LINE

To , 

[Address]

28 January 2023

Dear FIRST,

I am writing to formally appeal against the disciplinary penalty you imposed on me on DATE.

My reasons for appeal are as follows:

[set out the basis for your appeal. For example, you disagree with the way disciplinary action was taken, you feel the outcome was too harsh, or you have new evidence that you feel should be considered].

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