ACCOUNT_FIRST_NAME ACCOUNT_LAST_NAME

ACCOUNT_ADDRESS_SINGLE_LINE

To , 

[Address]

05 April 2025

Dear ,

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

My reasons for appeal are as follows:

[set out 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].

........................................