CLIENTFORM CF
ABN81098497517
Page1of2
_________________________________________________________________________________________________________
AFMADirect1300723621
www.afma.gov.au
1.NewIndividualClientdetails
Protectingourfishingfuture
HaveyouregisteredforGOFish?Aneasywaytomanageyourconcessionsonline
FamilyNa
me
Title(Mr,Ms,Mrs,Miss,Dr) 
Firstnameand
middleinitial/s
DateofBirth
ABN(ifapplicable)
PostalAddress:

Postcode
StreetAddress:‐ifsameaspostaladdress,write‘Asabove’
Postcode

HomePhone
Mobile
EmailAddress
Areyouinvolvedinapartnership,businessordirectorofa
companyregisteredwithAFMA,ifso,pleaserecordbelow
thepartnership/businessorcompanyname
(oryoumay
recordtheirAFMAclientIDifknown)
andyourpositionheld
Positionheld:
___________________________________________
Declaration
Ideclarethattheinformationprovidedonthisformis,tothe
bestofmyknowledge,trueandcorrect.
Signature
anddate
2.NewCompany/Partnership*details.
Name

ABN/ACN
PostalAddress:

Postcode
StreetAddress:‐ifsameaspostaladdress,write‘Asabove’
Postcode

ContactName
BusinessPhone
EmailAddress
BusinessFax
LISTCOMPANYDIRECTORS
Name______________________________D.O.B__________
Name______________________________D.O.B__________
Name______________________________D.O.B__________
(Ifyouhavemorethan3directorspleaselistthemandtheirdateofbirthonthe
backofthisform)
____________________________________________________
Declaration
Ideclarethattheinformationprovidedonthisformis,to
thebestofmyknowledge,trueandcorrect.
Signature
anddate
FullName
Positionheld
Incompany
*Forapartnership/businessAFMAalsorequiresanAAform
becompletedrecordingeachpartner’sdetails.
/
//
/
/
/ /
CLIENTFORM CF
ABN81098497517
Page2of2
_________________________________________________________________________________________________________
AFMADirect1300723621
www.afma.gov.au
Notesoncompletingthisform:
Protectingourfishingfuture
HaveyouregisteredforGOFish?Aneasywaytomanageyourconcessionsonline
1.NewIndividualClientdetails;thissectionmust
becompletedfullyforanindividualtoberegisteredas
anAFMAclient.
Ifyouarecompletingthisformasanindividualbut
youareinapartnership/businessorcompany
registeredwithAFMApleaserecordthe
partnership/businessorcompanynameortheirAFMA
clientID.Andpositionheldsuchas
par
tner/owner/directoretc.
2.NewCompany/Partnership*details;thissection
mustbecompletedfullytoregisteranewcompanyor
partnershipasanAFMAclient.
Foracompa
nypleaserecordalldetailsofthe
companyandincludethenameandDOBforeach
director.
Forapartnership
pleaserecordthepartnershipname,
detailsandcompleteanAuthorisedAgent(AA)form
recordingthedetailsofeachpartner.
3.Post,faxoremailthiscompletedformto;
AustralianFisheriesManagementAuthority
Box7051
CanberraBusinessCentreACT2610
Fax:(02)62255440
Email:licensing@afma.gov.au
4.Privacyinformation‐TheAustralianFisheries
ManagementAuthority(AFMA)isauthorisedtocollectthe
informationprovidedonthisformundertheFisheries
ManagementAct1991.Informationiscollectedpursuantto
ourdatacollectionfunctionsundertheFisheries
AdministrationAct1991(section7)
ConsistentwithAFMA’sobjectivenessand/orfunctions
and/orpowers,theinformationprovidedmaybedisclosed
to:
.Australian,StateandTerritorygovernmentsand
agenciesinvolvedintheenforcementoflaw;
.AustralianandInternationalfisheriesresearchand
managementorganisations,and
.Foreigngovernmentsinsupportofdomesticand
internationalobligationsinrelationtofisheries
ma
nagement,researchandcompliance.
FormoreinformationaboutprivacypleasecontactAFMA
on1300723621
Usethisareatorecordfurtherinformationifrequired.
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