IN THE FEDERAL COURT OF AUSTRALIA

[INSERT STATE] DISTRICT REGISTRY

V of 2002

B E T W E E N:

[INSERT NAME]

Applicant

- and -

REFUGEE REVIEW TRIBUNAL

First Respondent

- and -

COMMONWEALTH OF AUSTRALIA

Second Respondent

- and -

SECRETARY OF THE DEPARTMENT OF IMMIGRATION AND MULTICULTURAL AND INDIGENOUS AFFAIRS

Third Respondent

APPLICATION

Application under section 39B (1) of the Judiciary Act 1903 (Cth) and section 23 of the Federal Court of Australia Act 1976 (Cth).

On the grounds stated in the accompanying Affidavit, the Applicant claims:

1. Certiorari to quash the decision of the Refugee Review Tribunal made on[insert date] which refused the Applicant’s application for a[insert type] visa.
2. Prohibition to the Second and Third Respondents to prohibit further proceeding on the purported decision.
3. Mandamus directing the Refugee Review Tribunal to hear and determine the Applicant’s review applications in accordance with law.
4. Costs.
5. Such other orders as this court deems fit.

Dated: [insert date] 2002

…………………………….

Solicitors for the Applicant