File Number

	ACT CIVIL AND ADMINISTRATIVE TRIBUNAL

NOTICE OF DISCONTINUANCE/WITHDRAWAL
		
	*This form can be adapted for use in relation to third parties		

		Applicant

 		Respondent

NOTICE GIVEN BY: (strike out what does not apply)	

Applicant                                    Respondent                                    Other    

* Take notice that the applicant discontinues the application against the respondent

* Take notice that the respondent withdraws the response to the application

*Strike out if not applicable

Signature		Date		
Name