The Servicemember Relief Act Article 16

A petition for deliberation shall be submitted in the form of a petition pleading bearing the following items:1. The petitioner’s name, date of birth, service unit, rank and position or occupation, domicile, residence or affiliated garrison, and National Identification Number or identification document and number;2. While there is a statutory agent or petition agent, its name, date of birth, occupation, domicile, residence or office, and National Identification Number or identification document and its number;3. The original disposition agency;4. The petition claims;5. The facts and premises;6. The date that the administrative disposition was served or made known;7. The Protection Committee with which the petition is filed;8. The evidence. A written copy or photocopy shall be attached if the evidence is documentary;9. Any other petitions for deliberation or remedies that have been filed or are in process;10. The year, month, and day of filing the petition for deliberation.The petitioner and statutory agent shall sign its name or impress its seal on the pleading. Where an agent is retained for the petition, the agent shall sign its name or impress its seal on the pleading.A photocopy of the administrative disposition shall be attached when the petition is filed.Where the petition for deliberation is premised on the omission by the Authority prescribed in Paragraph 2 of Article 13, the items listed in Subparagraphs 3 and 6 of Paragraph 1 shall indicate the Authority that should have rendered the administrative disposition, the date of the motion, and the photocopy of the motion and record of the Authority’s receipt of the petition.
中文原文 軍人權益事件處理法第16條
提起復審應具復審書,載明下列事項:
一、復審人姓名、出生年月日、服役單位、職階或職業、住居所或服役單位之駐地、身分證明文件字號。
二、有法定代理人或復審代理人者,其姓名、出生年月日、職業、住居所或事務所、身分證明文件字號。
三、原處分機關。
四、復審請求事項。
五、復審之事實及理由。
六、收受或知悉行政處分之年、月、日。
七、受理復審之權保會。
八、證據。
其為文書者,應添具繕本或影本。
九、有無其他已提起或進行中之復審或救濟事件。
十、提起復審之年、月、日。
復審書應由復審人及法定代理人簽名或蓋章。
但委任復審代理人者,應由復審代理人簽名或蓋章。
提起復審應附原行政處分書影本。
依第十三條第二項規定,對權責機關之不作為提起復審者,第一項第三款、第六款所列事項,載明應為行政處分之權責機關、申請之年、月、日,並附原申請書之影本及受理申請機關收受證明。

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