You're using the RA template.
Here's the correct format;
Name - What is your in-game name?
STEAM-ID - What is your STEAM-ID?
Staff Members Name - Who warned you?
Punishment Reason - What was the reason of the punishment(s)?
Server - Which server did this occur on?
Story/Situation - What happened?
Extra Information - Anything you would find relevant to your punishments(s)?
Also, no need to lie in your appeal.