[b]Name -[/b] What is your name?
[b]Unique ID -[/b] What is your TS Unique ID? 
[b]Admins Name -[/b] Who banned you/who might it be?
[b]Reason -[/b] What is/might be the reason that you got banned?
[b]Time -[/b] How long were you banned for?
[b]Story -[/b] What happened?
[b]Who was in your channel? -[/b]
[b]Proof -[/b] Any proof on a video/screenshot that clearly show what happened?
[b]Extra Information -[/b] Any thing you think may be relevant to your ban.