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B1214 B1214 - Application for variation of a place covered by a Warehouse Licence

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B1214 (Design date 11/19) – Page 1
Application for variation of a place
covered by a Warehouse Licence
Approved form for the purposes of section 81B of the Customs Act 1901
.
Please open this form using Adobe Acrobat Reader. Either type in the elds provided or print this form and complete it using a pen and BLOCK LETTERS.
Tick where applicable
3
About this variation application form
Under Section 81B of the Customs Act 1901 (the Customs Act) the Comptroller-General of Customs (Comptroller-General) may, on application by
the holder of a warehouse licence, vary the licence by:
a) omitting the description of the place that is described in the licence and substituting a description of another place; or
b) altering the description of the place that is described in the licence.
Under subsection 81B(2) of the Customs Act, the warehouse licence holder must apply for the variation in writing. Under subsection 81B(4), the
Comptroller-General must not vary a licence if, in the Comptroller-General’s opinion the physical security of the warehouse would not be adequate,
having regard to the nature of the place, or the procedures and methods, including kind/quantity of goods, equipment and records, that would be
adopted to ensure the security of the goods in the place.
All questions must be answered in a comprehensive manner. (Any misleading information could jeopardise the grant of the variation).
Any personal information contained in this form will be collected, used, stored and disclosed by the Australian Border Force (ABF) in accordance
with the Australian Privacy Principles in Schedule 1 of the Privacy Act 1988. Further information regarding how the ABF handles personal
information can be found in the Department of Home Affairs’ (the Department) Privacy Policy www.homeaffairs.gov.au/access-and-
accountability/our-commitments/privacy or by contacting the Department’s Privacy Help Desk by email privacy@homeaffairs.gov.au.
1. About the applicant
Street address (do not use post ofce box)
Address for correspondence (if different to street address)
Contact person’s name
Email
Postcode
Postcode
Contact number
ABN (if applicable)Applicant’s full name
If the proposed variation to the warehouse licence will result in changes to personnel participating in positions of management or control
of the warehouse, you are required to notify the Comptroller-General within 30 days. The individuals nominated will be required to
establish their identity through a 100 point check and will be subject to police and other background checks. The information is used to
satisfy the requirement that all persons participating in the management or control of the warehouse are ‘t and proper’ for the purposes
of section 81 of the Customs Act.
State
State
2. About the proposed variation
2.1 Are the proposed premises owned or leased by the applicant?
Proposed name by which the warehouse is to be knownCurrent name of the warehouse
Establishment code
Current warehouse address
Under subsection 81B(5) the Comptroller-General will take into consideration the proximity of the proposed warehouse to the nearest
ABF ofce when determining whether to grant the application.
Owned If Owned, provide evidence of ownership
Leased If Leased provide details of the lease (If insufcient space, attach additional details)
Licence number
B1214 (Design date 11/19) – Page 2
3. Plan of the proposed licensed warehouse
Please provide two (2) copies of a certied plan:
(a) Outline the proposed variation to the warehouse area in red. Plans may be prepared by hand but must be to scale. Dimensions on the plan
must be in metric measurements.
If variation is for change of address, please provide full plans (as detailed in the Section 79 Warehouse Application Guide detailing security,
parking, fences etc.
(b) The plan should include the following details:
• entrance(s) to the premises in cases where the whole of the premises is proposed to be licensed, otherwise the entrance to the area to be
licensed as a warehouse.
• storage sheds and other buildings within the proposed licensed warehouse and their purposes.
• the ABF’s examination area.
• if the premises include an area licensed under section 77G of the Customs Act as a depot, indicate the location of this licensed area.
(c) An authorised ofcial of the business should endorse the plan with the following statement (handwritten or typed on the actual plans):
“I hereby certify that this is a correct plan of the place proposed to be covered by a warehouse licence at (insert street address) operated by
(insert name of warehouse licence holder) and referred to in the application for an amended warehouse licence dated (insert date).
I also certify that the area bounded in red is the area of the proposed licensed warehouse.”
The authorised ofcial should sign the site plan, including their full name, designation/position title and the date of signature.
No If No, you must provide evidence (Examples: Occupancy Certicate or Asbestos Report)
Yes
If Yes, provide details (If insufcient space, attach additional details)
No
Yes
If Yes, provide responses to (a) and (b) below (If insufcient space, attach additional details)
2. About the proposed variation continued...
2.2 Is it proposed that the postal and/or location address of the warehouse would change?
2.6 Is asbestos present in the building(s) within the proposed licensed area?
In accordance with Workplace Health and Safety Guidelines,
you are required to notify the ABF of the presence of this substance in the workplace.
2.7 Will there be any physical security changes?
(a) Describe the physical security of the proposed warehouse.
(Examples: Alarm systems, security patrol service, description of perimeter fencing, and/or exterior lighting)
(b) Nominate the person who may be contacted by the ABF to gain after hours access.
2.3 Will the warehouse be located more than 40 kilometres from the nearest ABF ofce?
2.8 Is any area on the premises on which the proposed warehouse is located licensed under section 77G of the Customs Act as a licensed depot?
2.4 What are the proposed physical changes to the warehouse? (If insufcient space, attach additional details)
2.5 Describe the security, layout and construction of the proposed warehouse (Example: Floor to ceiling cyclone wire fence).
References to buildings or locations of interest should be identied on the plan (see Point 3 “Plan of proposed licensed warehouse”).
(If insufcient space, attach additional details)
No
Yes
If Yes, provide the new address
No
Yes
No Yes
Contact person’s name
Email
Contact number
B1214 (Design date 11/19) – Page 3
5. Warehouse recording systems
6. Quantity of goods stored
No Yes
If Yes, provide details of the proposed changes (If insufcient space, attach additional details)
No
Yes
If Yes, provide details of the proposed changes (If insufcient space, attach additional details)
Will your record keeping procedures and systems change?
Will the quantity, type or value of the goods change? If so, provide details of the change as this may result in a requirement to increase the nancial
security if the duty liability increases?
Submitting this form
When the application form and requested attachments have been completed, please submit your application to:
Australian Border Force
Customs Licensing
GPO Box 9984
SYDNEY NSW 2001
Email: licen@abf.gov.au
On receipt of your application you will be invoiced for the $300 warehouse licence variation application fee. Processing of your application will only
commence once the invoice is paid.
You will be advised in writing should the Comptroller-General require further details in relation to this application for variation. Should no further
information be required, you will be advised within 60 days after the receipt of this application, whether this application has been approved. If you
have not had a response within 60 days, after the receipt of this application, the application is deemed refused.
Certication
Date
I hereby I hereby apply for the Warehouse Licence set out in section 2 to be varied by substitution/alteration of the place described in the licence in
accordance with section 81B of the Customs Act. I certify that the information contained in this application, which consists of the following
attachments, is true and correct:
• Attachment A: Copy of a certied plan in accordance with Point 3 “Plan of proposed licensed warehouse”, and
• other attachments as required.
Signed in accordance with the business’s Partnership Agreement or company’s Constitution
/ /
Designation / Position titleName
4. Changes to Company membership and persons who participate in the management or control of the warehouse
Full name Position Email address Contact number
If insufcient space, attach additional details
The applicant and all persons in positions of management or control are required to be t and proper. The ABF considers a person to be in
management or control if they:
• have authority to direct operations or activities at a warehouse;
• are involved in, or have an inuence over, the policies and procedures of the warehouse; or
• direct the receipt or release of goods at a warehouse.
A person is considered to be in management irrespective of whether their role is active or passive; and whether they are physically located at the
warehouse.
This include all directors, managers and customs brokers on site and includes (but not limited to) employees with:
• the authority to direct operations and/or release cargo;
• access to the ICS; or
• after hours access.
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B1214 B1214 - Application for variation of a place covered by a Warehouse Licence

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Completed 2 June 2020

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