Prison Act Article 124

A petition form must be filled out to file a petition. The petition shall provide the following information and sign or affix a seal on the form:1. Name of the petitioner; the name and address of the appointed agent or assistant, if applicable;2. Facts of the petition;3. Reasons for filing the petition;4. Date of the petition.
中文原文 監獄行刑法第124條
復審應填具復審書,並載明下列事項,由復審人簽名或捺印:
一、復審人之姓名。
有委任代理人或輔佐人者,其姓名、住居所。
二、復審事實。
三、復審理由。
四、復審年、月、日。

English translation for reference only; the Chinese text prevails. Not legal advice.