Fillable MFL Application MFL Application (PDF, 555 KB) (Australian Fisheries Management Authority)

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MFL Application MFL Application (PDF, 555 KB) (Australian Fisheries Management Authority)

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Return Application to:
Torres Strait Protected
Zone Joint Authority
c/- Australian Fisheries
Management Authority
PO Box 7051
Canberra Business
Centre ACT 2610
Torres Strait Fisheries Act 1984 Sub-section 19(1)
Application for Grant of Master Fisherman’s Licence
Note:
It is an offence under s136.1(1) of the Criminal Code Act 1995 to make a false or misleading statement or to
omit any matter or thing without which the statement is misleading.
- .
Details of Licence Application:
I hereby apply for: (please tick)
the grant of a licence for 1
or 5
years
the renewal of licence number TMJ……………………………………. currently valid to ……../………/………
under the Torres Strait Fisheries Act 1984 to authorise me to be in charge of a boat that is being used for commercial fishing
(other than community fishing) in the Joint Authority Fishery/ies described in Schedule 1.
I forward herewith the fee of $…………………………………….
Details of Applicant
Surname:……………………………………………………… Given Names:…………………………………………………
Nationality
Date of birth: ……/……/……
Please provide a postal address in the space
below (this can be a Post Office Box
address).
Please provide a residential address in the
space below (not a Post Office Box address)
Home phone:
Work phone:
Mobile:
Fax:
E-mail:
Schedule 1 – Joint Authority Fisheries
Schedule 2 – Supporting documentation
Please tick:
Tropical Rock Lobster
Pearl Shell
Reef Line
Prawn
Spanish Mackerel
Other:………………….
If applying for any fishery other than prawn, please tick:
I am a:
traditional applicant and have attached a completed
Traditional Inhabitant Identification Form.
OR
non-traditional applicant and have attached a letter of
nomination from the owner of licences for boat mark
…………………………………….
Declaration by Applicant
I declare that the information provided on this form is, to the best of my knowledge, true and correct and I undertake to update this
information as may be necessary.
Signature
Date: ……/……/……
PAYMENT OPTIONS
MAIL
PO Box 7051
Canberra Business Centre
CANBERRA ACT 2610
Cheque or money order payable to:
Australian Fisheries Management Authority
**Direct Deposit (available for existing clients)
Bank: NAB
Account Name: AFMA
BSB: 082 – 902
Account No: 39 688 2168
**Reference ………………..
To pay by credit card please fax this invoice with details completed to 02 6225 5440 or call AFMA
Direct on 1300 723 621 to pay by credit card over the phone.
Card type Visa Mastercard
   
Expiry: / Cardholder Authority…………………………………………….
**Direct deposit is available to existing AFMA clients. If you have a Client ID you may use this as your
reference, if you do not have a Client ID or you are not sure call AFMA Direct 1300 723 621.
________ AFMA A.B.N. 81 098 497 517
*Please check the fee schedule attached to calculate the fee payable.
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MFL Application MFL Application (PDF, 555 KB) (Australian Fisheries Management Authority)

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Completed 18 July 2020

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