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Furnell and Repatriation Commission [2011] AATA 149 (7 March 2011)
Last Updated: 8 March 2011
Administrative Appeals Tribunal
DECISION AND REASONS FOR DECISION [2011] AATA 149
ADMINISTRATIVE APPEALS TRIBUNAL )
) Nos 2009/4724 & 2009/4729-30
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VETERANS' APPEALS DIVISION
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Re
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Applicant
Respondent
DECISION
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Tribunal
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Senior Member K Bean Mr SJ Ellis AM (Member)
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Date 7 March 2011
Place Adelaide
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Decision
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The decisions under review are
affirmed.
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..............................................
K
BEAN
(Senior Member)
CATCHWORDS
VETERANS' AFFAIRS – Veterans' entitlements
- Rate of disability pension – Special rate – Application of
ameliorating
provisions – Veteran must have ceased looking for work in
order to satisfy s 24(2)(b) – Veteran has not ceased looking
for work
– Veteran’s accepted disabilities are not the substantive cause of
his inability to obtain remunerative employment
– Decisions under review
affirmed.
Veterans’ Entitlements Act 1986 ss 19(9), 24
Leane v
Repatriation Commission [2004] FCAFC 83; (2004) 81 ALD 625
Re Martin and Repatriation
Commission (1987) 13 ALD 83
Conway v Repatriation Commission
[2003] FCA 704
Re Hornery and Repatriation Commission [1998] AATA 602; (1998) 52
ALD 317
Fox v Repatriation Commission (1997) 45 ALD 317
REASONS FOR DECISION
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Senior Member K
Bean Mr SJ Ellis AM (Member)
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INTRODUCTION
- The
applicant, Mr Furnell served in the Royal Australian Navy from 27 July 1968 to
26 July 1989, rising to the rank of warrant officer.
As a result of his service
he suffers from a number of medical conditions including lumbar spondylosis,
post-traumatic stress disorder
(PTSD) and a depressive disorder.
- Following
his service, Mr Furnell worked for the Adelaide City Council in a variety of
roles, until leaving that employment in June
2001. He has not worked since that
time and in October 2004 he first applied for payment of disability pension
under the Veterans’ Entitlements Act 1986 (the VE Act) at the
special rate. He has made a number of further claims and applications, some
relating to liability for particular
conditions and some to assessment of his
rate of pension, ultimately culminating in the decision of the Veterans’
Review Board
(VRB) of 11 September 2009. In that decision the VRB reviewed
three separate decisions of the Repatriation Commission (the Commission)
and
determined that Mr Furnell’s depressive disorder was a defence caused
condition, but declined to increase his rate of pension
to the special rate. In
procedural terms, that outcome resulted from the VRB affirming two of the
decisions of the Commission and
setting aside one.
- Mr
Furnell has now sought review of that decision by this
Tribunal.
PROCEDURAL HISTORY, LEGISLATION AND ISSUES
- In
order to establish that he is entitled to be paid disability pension at the
special rate, Mr Furnell must demonstrate that he satisfied
all of the
requirements of s 24 of the VE Act at one time during the assessment period.
The assessment period is defined in s 19(9)
of the VE Act as the period
commencing on the day a particular claim or application was made and ending on
the date that the claim
or application is determined. As Mr Furnell has made a
number of claims and applications relating to different conditions, it is
appropriate that we consider and set out the assessment periods which apply in
respect of each of the decisions under review.
Decisions under
review and the applicable assessment periods
- The
details of each of the reviewable decisions before us together with the
assessment periods to which they relate are as follows:
(a) the
decision of the Repatriation Commission (affirmed by the VRB) dated 6 July
2006 relating to a claim lodged on 25 May
2006, being a claim for acceptance of
conditions of the right wrist and both big toes. The right wrist condition was
accepted with
effect from 25 February 2006 and the “big toes”
condition was rejected under the name “bi-lateral congenital hallux
valgus”. Therefore the assessment period relating to the right wrist
condition starts on the date of the application relating
to that condition,
which is 25 May 2006;
(b) the decision of the Repatriation Commission (affirmed by the VRB) dated
10 November 2006 which flowed from the earliest of
the applications, which
was lodged on 19 October 2004. This decision continued pension at 100 percent
of the general rate, nothwithstanding
the decision of this Tribunal that
liability should be accepted for lumbar spondylosis. Therefore the assessment
period relating
to Mr Furnell’s back condition (and the other
conditions which were accepted following lodgement of his first claim) begins
on
19 October 2004; and
(c) the decision of the VRB dated 11 September 2009 which decided that
Mr Furnell’s condition of depressive disorder was
defence-caused and
that incapacity from that condition commenced on 4 January 2008, but that Mr
Furnell should continue to receive
disability pension at 100 percent of the
general rate[1]. The
claim for depressive disorder was made on 4 April 2008 which means that the
assessment period in respect of that condition
begins on that date.
- As
to the accepted conditions, there is no dispute that they
are:
(a) allergic rhinitis;
(b) cataract in the left eye;
(c) displaced left ocular prosthesis;
(d) hypertension;
(e) post-traumatic stress disorder;
(f) alcohol dependence or alcohol abuse;
(g) fracture of the right lower arm;
(h) bi-lateral sensineural hearing loss;
(i) tinnitus;
(j) lumbar spondylosis;
(k) carpal tunnel syndrome of the right wrist;
(l) osteoarthrosis of the right wrist; and
(m) depressive disorder.
Legislation and issues
- Section
24 of the VE Act relevantly provides as
follows:
“24 Special rate of pension
(1) This section applies to a veteran if:
(aa) the veteran has made a claim under section 14 for a pension, or an
application under section 15 for an increase in the rate
of the pension that he
or she is receiving; and
(aab) the veteran had not yet turned 65 when the claim or application was
made; and
(a) either:
(i) the degree of incapacity of the veteran from war-caused injury or
war-caused disease, or both, is determined under section
21A to be at least 70%
or has been so determined by a determination that is in force; or
(ii) the veteran is, because he or she has suffered or is suffering from
pulmonary tuberculosis, receiving or entitled to receive
a pension at the
general rate; and
(b) the veteran is totally and permanently incapacitated, that is to say,
the veteran’s incapacity from war-caused injury
or war-caused disease, or
both, is of such a nature as, of itself alone, to render the veteran incapable
of undertaking remunerative
work for periods aggregating more than 8 hours per
week; and
(c) the veteran is, by reason of incapacity from that war-caused injury or
war-caused disease, or both, alone, prevented from continuing
to undertake
remunerative work that the veteran was undertaking and is, by reason thereof,
suffering a loss of salary or wages, or
of earnings on his or her own account,
that the veteran would not be suffering if the veteran were free of that
incapacity; and
(d) section 25 does not apply to the veteran.
(2) For the purpose of paragraph (1)(c):
(a) a veteran who is incapacitated from war-caused injury or war-caused
disease, or both, shall not be taken to be suffering a loss
of salary or wages,
or of earnings on his or her own account, by reason of that incapacity
if:
(i) the veteran has ceased to engage in remunerative work for reasons
other than his or her incapacity from that war-caused injury
or war-caused
disease, or both; or
(ii) the veteran is incapacitated, or prevented, from engaging in
remunerative work for some other reason; and
(b) where a veteran, not being a veteran who has attained the age of 65
years, who has not been engaged in remunerative work satisfies
the Commission
that he or she has been genuinely seeking to engage in remunerative work, that
he or she would, but for that incapacity,
be continuing so to seek to engage in
remunerative work and that that incapacity is the substantial cause of his or
her inability
to obtain remunerative work in which to engage, the veteran shall
be treated as having been prevented by reason of that incapacity
from continuing
to undertake remunerative work that the veteran was
undertaking....”
- The
respondent does not dispute that Mr Furnell satisfies ss 24(1)(aa), 24(1)(aab),
24(1)(a), 24(1)(b) and 24(1)(d). Further, Mr
Hemsley, who appeared as counsel
for the applicant, conceded at the hearing that Mr Furnell does not satisfy
s 24(1)(c) other
than by relying on the relevant “ameliorating”
provision in s 24(2), namely 24(2)(b).
- It
follows that the issue for our determination is whether, at any time during the
assessment period, Mr Furnell has satisfied the
test prescribed by s 24(2)(b).
- Breaking
that test down into its separate elements, we are required to
consider:
(a) whether Mr Furnell has been genuinely seeking to
engage in remunerative work;
(b) whether he has ceased to do so; and
(c) if so, whether his war-caused incapacity is the substantial cause of his
inability to obtain remunerative work.
- We
propose to consider each of these issues in turn, having regard to the evidence
before us and the contentions of the parties.
HAS MR FURNELL BEEN
GENUINELY SEEKING REMUNERATIVE WORK?
- As
to the extent of the efforts which must be made by a veteran to satisfy this
test, in Leane v Repatriation Commission [2004] FCAFC 83; (2004) 81 ALD 625, the Full
Court of the Federal Court said (at [28]):
“The primary judge interpreted the word ‘seeking’ to mean
‘attempting to’ or ‘trying to’.
This may be accepted.
Such a meaning involves something more than a mere wish or hope. It requires
that a claimant ‘do’
something. On the other hand the word
‘genuinely’ is used in the sense of ‘sincerely’ or
‘honestly’.
It involves an assessment of the subjective intention or
purpose of a claimant. What is required is that the claimant honestly be
trying
to engage in remunerative work.”
- At
[30]-[32] the Court also observed that the person must have been genuinely
seeking to engage in remunerative work at some time
during the assessment
period.
- In
relation to his attempts to seek work, Mr Furnell said that he finally left his
employment with the Adelaide City Council in June
2001. Immediately after that
he was mainly occupied in seeking medical treatment, although he did make some
attempts to look for
work. He later sought some assistance with obtaining work
and approached the Veterans’ Vocational Rehabilitation Service (VVRS)
(a
service for veterans operated by the Commonwealth Rehabilitation Service (the
CRS)) in October or November
2004[2]. After his
second interview with the job placement officer however, he fell as he was
leaving the VVRS offices and injured his wrist.
He said that the two main jobs
which had been discussed as possibilities for him prior to this fall were as a
car park attendant
or cashier. Unfortunately, he said he had not been able to
obtain further assistance from the VVRS subsequently as he had not been
medically cleared following the fall in which he injured his
wrist[3].
- Nevertheless,
after his wrist had healed, he said that he had continued to apply for various
jobs he thought he could do and which
were not too far from his home in
Hahndorf. He said he applied for various jobs advertised in the Mount Barker
Courier, and supplied
a list of these annexed to his
statement[4]. The list
provided by Mr Furnell records the details of 18 positions apparently
advertised between 4 February 2004 and 11 February
2009. Mr Furnell said in his
evidence that he enquired about all of these positions.
- Mr
Furnell also said in his evidence that he had received an offer of work at a
property known as “The Tenmile” in September 2007. He
also supplied a copy of a letter from “The Tenmile Pty Ltd”
which
was annexed to his
statement[5] and dated
24 September 2007.
- As
to the circumstances in which he received this letter, he explained in his
evidence that he knew the family who ran the property,
the Tomneys, and would
see them socially from time to time. He said before he received the letter,
from Lawrence and Mary Tomney,
they had telephoned him to see if he was willing
to come out to the property and work as a driver. He said that he told them he
was not able to, for reasons connected to his accepted conditions, but they sent
the letter in any event. When he received the letter,
he phoned them and
explained again that he was unable to accept the offer as his licence had been
downgraded and he had “a crook
back”[6].
- In
relation to Mr Furnell’s evidence as to his attempts to seek remunerative
work, the advocate for the respondent, Mr Crowe,
conceded and we also accept
that his approach to the VVRS and his applications for the jobs listed in the
annexure to his statement
constituted genuine attempts to seek employment for
the purposes of s 24(2)(b). Mr Crowe also submitted that the offer of
employment
from “The Tenmile” did not appear to have been the result
of any approach by Mr Furnell and was therefore not properly
considered to be an
example of an attempt on his part to seek remunerative employment. We accept
that submission and it follows
that we consider Mr Furnell’s genuine
attempts to seek work are limited to his approach to the VVRS and his
applications for
various positions between 2004 and 2009 as detailed in the
annexure to his statement.
HAS MR FURNELL STOPPED SEEKING TO
ENGAGE IN REMUNERATIVE WORK?
- Mr
Crowe submitted that in order for his claim to succeed, it was necessary for Mr
Furnell to establish that he had stopped seeking
remunerative work, as well as
that the substantial cause for his inability to obtain remunerative employment
was his accepted incapacity.
Mr Crowe did not direct us to any authorities in
support of that proposition, however as a matter of construction and logic, we
consider it to be correct.
- We
note that s 24(2)(b) is intended to ameliorate the effect of the “alone
“ test by permitting veterans who are unemployed
but for whom their
war-caused incapacity is the substantial cause of their inability to obtain
employment, to qualify for the special
rate of pension. As the Tribunal noted
in Re Martin and Repatriation Commission (1987) 13 ALD 83:
“If s 24(2)(b) were not in the Act, veterans who had been unemployed at
the time when their incapacity became so severe as to
remove their capacity for
work would never be able to qualify for pension at the special or intermediate
rate.”
- It
must follow however from the terms of the provision and the context in which it
operates that the veteran is no longer seeking
remunerative work as well as
being unable to obtain it. It would be an odd result for a veteran to be found
to qualify for the special
rate of pension, notwithstanding that he or she was
continuing to seek paid employment.
- Further
we consider this proposition to be consistent with the observations of Dowsett
J in Conway v Repatriation Commission [2003] FCA 704 at [8] as
follows:
“ As I understand par 24(2)(b), there must be an inquiry as to whether
or not the relevant applicant has been genuinely seeking
to engage in
remunerative work in the past, that is prior to his becoming incapacitated for
the purposes of s
24. Then it is necessary
to enquire whether or not he would be continuing to
seek to engage in remunerative work had he not been incapacitated, and whether
the incapacity is the substantial cause of his inability to obtain remunerative
work. The "genuinely seeking" test relates to the
work history of the applicant
rather than to efforts which he might make after he becomes incapacitated.
Although the construction
of the section is not an easy matter, this appears to
have been the view taken by the Tribunal in Re Hornery and Repatriation
Commission
[1998] AATA 602; (1998) 52 ALD 317 at 331. I consider it to be
correct.”
In the decision expressly approved by Dowsett J in Conway, Re Hornery and
Repatriation Commission [1998] AATA 602; (1998) 52 ALD 317, the Tribunal said (at [332]):
“Section
24(2)(b) refers to a veteran who "has been genuinely seeking to
engage in remunerative work" and in the Tribunal's view, this being a special
provision to ameliorate s.24(1)(c)
insofar as its effect is that the alone test there does not apply, it was
intended to apply where the veteran's genuine and active
pursuit of work, that
is, his or her efforts to obtain work were brought to an end by incapacity from
war-caused injury or disease.
By saying that, the Tribunal does not mean to say
that incapacity from war-caused disease or war-caused injury must have
supervened
at such time as the veteran was seeking on a daily or weekly basis to
find work but in the Tribunal's view it must supervene at such
a time as the
veteran can properly be said to have been genuinely seeking to find remunerative
work, with there being "some objective
signs of active pursuit of remunerative
work" (Re Bonner above)).”
- We
therefore accept Mr Crowe’s submission that, in the circumstances of this
matter, before we can be satisfied that Mr Furnell
qualifies to be paid
disability pension at the special rate, we must be satisfied that he has ceased
seeking to engage in remunerative
work.
- Turning
to the evidence before us on this question, it is apparent from the list of
positions attached to Mr Furnell’s statement
that he has been seeking to
obtain employment as recently as 11 February 2009. In his statement, he
said:
“Notwithstanding all of that, I have continued to try and obtain work.
I have applied for a number of positions and I attach
hereto a handwritten
summary of the positions that I have applied for over the past few years.
Separately I have also approached
businesses with the possibility of employment.
I have applied for employment in positions that I thought that I could fulfil
and work categories that I thought that I could do.
I have applied for those at times when those advertisements have appeared and
I have applied at times when I feel well enough to apply
for
work.”
- In
his oral evidence, the following exchange occurred between Mr Hemsley and Mr
Furnell:
“And have you – other than the list that you supplied, have you
applied for any other jobs? --- Only when I see them,
you know, by walking in.
But most of the time when you walk in, they are very – someone has –
you know, has taken them
or – you know, at least for what I got around ...
anyway. They get taken pretty
quickly....”[7]
- Later
in his evidence however, the following further exchange also occurred between Mr
Furnell and Mr Hemsley:
“Mr Furnell, if you were able to would you be working today? ---
Yes.
Is there anything else that you can point to that would indicate that to the
Tribunal? --- Well, I would quickly hurry back to the
CRS and – and hunt
around for a position that is suited, and that is for sure. At the moment I
just sit and watch the grass
grow.”[8]
- In
the most recent medical report which is before us, the report of Dr Long,
Occupational Physician, dated 25 May 2009, he records
the following by way of
background in relation to Mr Furnell:
“He said that he thought he could obtain alternative employment of a
simpler nature (eg security work), but found that he was
unable to obtain
subsequent employment in spite of the assistance of CRS and job seeking
agencies.”[9]
- On
the evidence which is before us therefore, there is a degree of uncertainty as
to whether Mr Furnell has in fact ceased seeking
to engage in remunerative work.
Mr Furnell did not expressly say that he had in his evidence and in order to
find that he had ceased
seeking to engage in remunerative work, we would need to
infer this from some of the statements he made in his evidence, such as
the
exchange with Mr Hemsley quoted at paragraph 26 above. In written
submissions provided after the hearing at the request
of the Tribunal, Mr Crowe
conceded that he could “see how such an inference can be
drawn”[10].
In his further written submissions, Mr Hemsley noted that this concession
supported the applicant’s
case[11].
- There
are a number of matters however which emerge on the evidence and detract from
our confidence in drawing such an inference.
One is that in his exchange with
Mr Hemsley, Mr Furnell said that if he felt fit enough he would “hurry
back to the CRS”. He also made it clear in his statement and oral
evidence however that, although he had not been able to obtain assistance from
the
CRS since injuring his wrist, that had not stopped him from looking for
work. There is a degree of inconsistency therefore in him
saying on the one had
that if he felt well enough to work he would “hurry back to the
CRS” and on the other that he had been actively looking for work
without any assistance from the CRS between 2005 and 2009.
- Another
difficulty is that in addition to Mr Furnell’s own statement, that he was
looking for work as recently as February 2009,
Dr Long’s report of
May 2009 also suggests that Mr Furnell still felt able to work at that time.
Further, not only has
Mr Furnell not said clearly that he has ceased
looking for work, there is nothing in the material before us to suggest that
there has been a deterioration of his health since early 2009 such as would
cause him to stop looking for work.
- We
note that whilst there is no onus of proof on the applicant, we are required by
the VE Act to determine all issues relevant to
his eligibility for disability
pension at the special rate to our “reasonable
satisfaction”[12].
- Whilst
there is some material before us which would support a conclusion that Mr
Furnell has ceased looking for work, on balance having
regard to all of the
material, we are not reasonably satisfied that he has in fact stopped looking
for work.
- In
case we should be wrong in reaching that conclusion however, it is appropriate
that we proceed to consider whether, assuming he
has ceased looking for work, Mr
Furnell’s war-caused disabilities are the substantial cause of his
inability to obtain remunerative
work.
ARE MR FURNELL’S
ACCEPTED DISABILITIES THE SUBSTANTIAL CAUSE OF HIS INABILITY TO OBTAIN
REMUNERATIVE WORK?
- Whilst
the “substantial cause” test is not as strict as the “alone
test”, it has been held that:
“the words ‘the substantial cause’ require that, if the
incapacity is not of itself productive of the inability
to obtain work, it is
nevertheless the operative factor which, more than any other, explains
it.”[13]
- In
relation to factors other than his accepted disabilities which appear to have
played some part in Mr Furnell’s inability
to obtain employment, it is
relevant in our
view that in a report completed in October 2004, a
rehabilitation consultant from the VVRS stated as follows:
“Employment prospects for Mr Furnell appear limited, given his age,
physical and psychological barriers and the fact that he
has not worked for more
than three years and his work capacity is
unclear.”[14]
- Assuming
Mr Furnell ultimately stopped looking for work in approximately mid 2009, it is
relevant in our view that he was five years
older by this time and had been out
of the workforce for five years longer than he had at the time this report was
completed. We
accordingly consider it reasonable to infer that both his age and
time out of the workplace played some role in his inability to
secure employment
while he was still seeking it. In addition, we note that whilst Mr Furnell
cited his accepted disabilities as
the reason that he was not able to pursue a
number of employment opportunities, when he was first asked in
examination-in-chief why
he had not been successful in obtaining the jobs he had
sought over recent years, the following exchange ensued between he and Mr
Hemsley:
“And do you know why any of those jobs were unsuccessful for
you?---Most of them were taken up by young school kids, you know,
with stable
hands and that.
And it was at that time that you spoke to the Tomneys about the work as a
driver?---Yes. Yes. But that would have been pretty easy
really, but –
excepting I didn’t have a licence and all
that.
And have you - other than the list that you supplied, have you applied for
any other jobs?---Only when I see them, you know, by walking
in. But most of
the time, when you walk in, they’re very – someone has - you know,
has taken them or – you know,
at least for what I got around ..... anyway.
They get taken pretty quickly. I don’t mention too much of my hand
but.”[15]
- We
note that this evidence is consistent with what Mr Furnell appears to have told
Dr Long in May 2009, that is that he still felt
that he could do some work but
had been unsuccessful in his attempts to secure work of the type he felt he
could do.
- In
addition, whilst we accept that Mr Furnell made genuine attempts to seek
employment in the period 2004-2009, it appears to us on
the evidence that his
attempts to secure employment during this period were somewhat half-hearted.
For example, he has not recorded
any positions that he applied for in 2005 and
he has only recorded applying for one position in 2006 and two in 2007. It
appears
to us that the fact Mr Furnell did not pursue very many employment
opportunities over that five year period has also contributed
to him being
unsuccessful in securing employment.
- In
summary, we consider that a variety of factors have combined to prevent Mr
Furnell from obtaining remunerative work. Those factors
have included the fact
that many of the jobs he applied for had already been taken, his age, his length
of time out of the workforce
and the fact that he only looked for or applied for
work somewhat sporadically. Whilst Mr Furnell’s accepted disabilities
clearly made it more difficult for him to secure remunerative employment and
significantly restricted the positions he could apply
for, we consider that the
other matters we have referred to also played a sufficiently significant part
that it could not be said
that Mr Furnell’s accepted disabilities were
“the substantial cause” of his inability to secure remunerative work
during the applicable assessment periods.
- We
do not consider this to be an example of a case in which a veteran’s
accepted disabilities have “supervened”
so as to prevent him from
continuing to seek employment. Rather a variety of factors including his
accepted disabilities have combined
to prevent Mr Furnell from being successful
in obtaining employment, despite his efforts to do so (and assuming for present
purposes
that those efforts have now ceased). We do not consider however
Mr Furnell’s accepted disabilities to have been “the
substantial cause” of his failure to obtain
employment.
CONCLUSION
- We
have concluded that although Mr Furnell was genuinely seeking remunerative work
in the period 2004-2009, he does not meet the requirements
of s 24(2)(b) of the
VE Act as he has not in fact ceased to seek remunerative work. Even if
we are wrong in that conclusion and he has ceased looking for remunerative
work,
we have also concluded that his accepted disabilities are not the substantial
cause of his failure to obtain employment, and
he fails to satisfy s 24(2)(b) of
the VE Act for that reason.
DECISION
- The
decisions under review are affirmed.
I certify that the 42 preceding paragraphs are a true copy of the
reasons for the decision herein of Senior Member K Bean
and Mr SJ Ellis AM (Member)
Signed: ............J
Coulthard............................................
Associate
Date of Hearing 26 August 2010
Date of Decision 7 March 2011
Counsel for the Applicant Mr G Hemsley
Solicitor for the Applicant Graeme D
Hemsley
Advocate for the Respondent Mr A Crowe
DVA
[1]
T42/166
[2]
Transcript 26.8.10 at p 22,
T26
[3] Transcript
26.8.10 at p 23
[4]
Exhibit 6
[5] Exhibit
6
[6] Transcript
26.8.10 at p 47
[7]
Transcript 26.8.10 at p
24
[8] Transcript
26.8.10 at p 51
[9]
T3/304
[10]
Respondent’s submissions 13 January
2011
[11]
Applicant’s submissions 28 January
2011
[12] s
120(4)
[13] Fox
v Repatriation Commission (1997) 45 ALD 317 at
319
[14]
T26/113
[15]
Transcript 26.8.10 at page 24
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