[b]Basic Information[/b][list][*][b]Your nickname (at the time of ban):[/b]
[*][b]Steam ID / IP:[/b]
[*][b]Date and time of ban:[/b]
[*][b]Admin who banned you (if known):[/b]
[*][b]Ban duration:[/b]
[*][b]Reason shown (if any):[/b]
[/list] [b]Explanation[/b][list][*][b]Why do you think you were banned?[/b]
[*][b]Do you admit to breaking any rules?[/b]
[*][b]Why should we unban you?[/b]
[*][b]Have you been banned before? (Yes/No)[/b]
[*][b]Do you promise to follow the rules from now on?[/b]
[/list] [b]Evidence & Proof[/b][list][*][b]Demo / screenshot (if available):[/b]
[*][b]Witnesses (optional):[/b]
[*][b]Other comments:[/b]
[/list]