Fillable Registered Authorised Agent Nomination Form Oct 17 (Australian Fisheries Management Authority)

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Registered Authorised Agent Nomination Form Oct 17 (Australian Fisheries Management Authority)

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TP (Sep 14) Page 1 of 3
TP
Transfer of
Fishing Permits
This form should be completed when a permit holder wants to
permanently transfer their permit to another party.
Fees may apply for this service. Please refer to the schedule of fees
listed on the AFMA website www.afma.gov.au or contact AFMA
licensing on 1300 723 621.
What you need to do
1) The current permit holder(s) and the proposed permit holder(s)
must complete this form and make sure it is signed and dated by
both parties.
2) Post or fax this completed form along with the attachment(s) to:
Australian Fisheries Management Authority
Box 7051
Canberra Business Centre ACT 2610
Fax: (02) 6225 5440
Who can sign this form?
Companies – Where the company has a sole director who is also
the sole Company Secretary, this form must be signed and dated
by that person. If the company (pursuant to section 204A of the
Corporations Act 2001) does not have a Company Secretary, a Sole
Director can sign and date alone.
If the company has more than one Director, this form must be signed
and dated by two Directors or by one Director and the Company
Secretary.
Joint holders – If the concession is in more than one name
(partnership or otherwise), all holders must sign and date this form.
If there are more than two holders, please attach a separate sheet.
Power of Attorney or Authorities – To sign under a Power of
Attorney or Authority you must produce an original certified copy of
the Power of Attorney or Authority to this form.
Warning
Both parties should note that the transfer of a fishing permit will not
transfer any corresponding eligibility for statutory fishing rights to be
granted under Management Plans for any fishery. AFMA can be
contacted on 1300 723 621 for further information about eligibility
under fisheries management plans.
Privacy information
The Australian Fisheries Management Authority (AFMA) is
authorised to collect the information provided on this form under the
Fisheries Management Act 1991. The information provided will be
used for assessing your eligibility for a Commonwealth fishing
entitlement.
Consistent with AFMA’s objectives and/or functions and/or powers,
the information provided may be disclosed to:
• Australian, State and Territory governments(s) and agencies
involved in the enforcement of law
• Australian and International fisheries research and management
organisations, and
• foreign governments in support of domestic and international
obligations in relation to fisheries management,research and
compliance.
For more information about privacy please contact AFMA on
1300 723 621.
AFMA Direct 1300 723 621 www.afma.gov.au Protecting our fishing future
PART A – Current permit holder’s details
1
Name(s) of current permit holder(s)
2
3
Postal address
ABN number
(if applicable)
Note: A business name is not necessarily a legal entity.
A business name is either owned by a person, or persons,
of a company.
Postcode
4
Street address (if same as postal address, write ‘As above’)
Postcode
5
Contact person’s name
Business phone
Mobile
Fax
Email address
ABN: 81 098 497 517
TP (Sep 14) Page 1 of 3
TP
Transfer of
Fishing Permits
This form should be completed when a permit holder wants to
permanently transfer their permit to another party.
Fees may apply for this service. Please refer to the schedule of fees
listed on the AFMA website www.afma.gov.au or contact AFMA
licensing on 1300 723 621.
What you need to do
1) The current permit holder(s) and the proposed permit holder(s)
must complete this form and make sure it is signed and dated by
both parties.
2) Post or fax this completed form along with the attachment(s) to:
Australian Fisheries Management Authority
Box 7051
Canberra Business Centre ACT 2610
Fax: (02) 6225 5440
Who can sign this form?
Companies – Where the company has a sole director who is also
the sole Company Secretary, this form must be signed and dated
by that person. If the company (pursuant to section 204A of the
Corporations Act 2001) does not have a Company Secretary, a Sole
Director can sign and date alone.
If the company has more than one Director, this form must be signed
and dated by two Directors or by one Director and the Company
Secretary.
Joint holders – If the concession is in more than one name
(partnership or otherwise), all holders must sign and date this form.
If there are more than two holders, please attach a separate sheet.
Power of Attorney or Authorities – To sign under a Power of
Attorney or Authority you must produce an original certified copy of
the Power of Attorney or Authority to this form.
Warning
Both parties should note that the transfer of a fishing permit will not
transfer any corresponding eligibility for statutory fishing rights to be
granted under Management Plans for any fishery. AFMA can be
contacted on 1300 723 621 for further information about eligibility
under fisheries management plans.
Privacy information
The Australian Fisheries Management Authority (AFMA) is
authorised to collect the information provided on this form under the
Fisheries Management Act 1991. The information provided will be
used for assessing your eligibility for a Commonwealth fishing
entitlement.
Consistent with AFMA’s objectives and/or functions and/or powers,
the information provided may be disclosed to:
• Australian, State and Territory governments(s) and agencies
involved in the enforcement of law
• Australian and International fisheries research and management
organisations, and
• foreign governments in support of domestic and international
obligations in relation to fisheries management,research and
compliance.
For more information about privacy please contact AFMA on
1300 723 621.
AFMA Direct 1300 723 621 www.afma.gov.au Protecting our fishing future
PART A – Current permit holder’s details
1
Name(s) of current permit holder(s)
2
3
Postal address
ABN number
(if applicable)
Note: A business name is not necessarily a legal entity.
A business name is either owned by a person, or persons,
of a company.
Postcode
4
Street address (if same as postal address, write ‘As above’)
Postcode
5
Contact person’s name
Business phone
Mobile
Fax
Email address
ABN: 81 098 497 517
Registered
Authorised Agent
Nomination
RA
This form allows you to nominate another person to act as
your Agent.
If electronic services are provided, as part of this
nomination the Agent will:
•
Be registered as an AFMA GoFish Client
ReceivenoticationsfromAFMAelectronically
•
Note: All your concessions are covered by this nomination.
If you wish to nominate more than one Agent please
You can select varying levels of agency for your
nominated Agent depending on what you would like
them to do on your behalf. All Agents will be authorised
to conduct manual and, if provided electronic
transactions on your behalf.
Multiple nominations are permitted for an Agent.
Please select the nomination type(s) for the proposed
Agent.
A Logbook/Receiver Agent may sign and submit
catch or receiver data on your behalf, either by
paper or by electronic means(If provided).
Logbook Agents cannot access your concession
Information.
A Licensing Agent may administer licensing tasks on
your behalf; including boat nominations and leases and
enquiries relevant to your concession.
This type of Agent cannot undertake permanent transfers
unlesstheyhavebeenspecicallyauthorisedtodoso.
A Primary Agent is able to nominate additional Licensing
Agents and Logbook Agents. A Primary Agent is also able
to act as a Logbook and Licensing Agent.
This type of Agent cannot undertake permanent transfers
unlesstheyhavebeenspecificallyauthorisedtodoso.
The permanent transfer function allows an Agent to
permanently transfer assets on your behalf. Some types of
concessions are not transferable, i.e Fish Receiver Permit/
License.
To nominate an Agent for the permanent transfer function,
the Agent must also be registered as a Primary or Licensing
Agent.
Postal address
Street address (if same as postal address, write ‘As above’)
Business phone
Mobile
Fax
Postcode
Postcode
/ /
Agent Name (complete as: rst name, middle initial, surname)
Only complete below if your nominated Agent is not
registered with AFMA
Email address
Date of birth
AFMA Client ID (complete for registered AFMA clients)
AFMA Client ID
Name(s) of current concession holder(s)
Agent type
Logbook/Receiver Agent
Licensing Agent
Primary Agent
Permanent transfer function
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Agent details
complete a separate RA form for each Agent.
C
oncession/s
referred to in this form are, SFRs, Permits
and Licences.
If you are not completing this form electronically please
complete the form in black or blue ink.
Concession holder(s) details
Is this Agent a skipper?
(not applicable for Fish Receivers)
RA (September/17) Page 1 of 3
TP (Sep 14) Page 1 of 3
TP
Transfer of
Fishing Permits
This form should be completed when a permit holder wants to
permanently transfer their permit to another party.
Fees may apply for this service. Please refer to the schedule of fees
listed on the AFMA website www.afma.gov.au or contact AFMA
licensing on 1300 723 621.
What you need to do
1) The current permit holder(s) and the proposed permit holder(s)
must complete this form and make sure it is signed and dated by
both parties.
2) Post or fax this completed form along with the attachment(s) to:
Australian Fisheries Management Authority
Box 7051
Canberra Business Centre ACT 2610
Fax: (02) 6225 5440
Who can sign this form?
Companies – Where the company has a sole director who is also
the sole Company Secretary, this form must be signed and dated
by that person. If the company (pursuant to section 204A of the
Corporations Act 2001) does not have a Company Secretary, a Sole
Director can sign and date alone.
If the company has more than one Director, this form must be signed
and dated by two Directors or by one Director and the Company
Secretary.
Joint holders – If the concession is in more than one name
(partnership or otherwise), all holders must sign and date this form.
If there are more than two holders, please attach a separate sheet.
Power of Attorney or Authorities – To sign under a Power of
Attorney or Authority you must produce an original certified copy of
the Power of Attorney or Authority to this form.
Warning
Both parties should note that the transfer of a fishing permit will not
transfer any corresponding eligibility for statutory fishing rights to be
granted under Management Plans for any fishery. AFMA can be
contacted on 1300 723 621 for further information about eligibility
under fisheries management plans.
Privacy information
The Australian Fisheries Management Authority (AFMA) is
authorised to collect the information provided on this form under the
Fisheries Management Act 1991. The information provided will be
used for assessing your eligibility for a Commonwealth fishing
entitlement.
Consistent with AFMA’s objectives and/or functions and/or powers,
the information provided may be disclosed to:
• Australian, State and Territory governments(s) and agencies
involved in the enforcement of law
• Australian and International fisheries research and management
organisations, and
• foreign governments in support of domestic and international
obligations in relation to fisheries management,research and
compliance.
For more information about privacy please contact AFMA on
1300 723 621.
AFMA Direct 1300 723 621 www.afma.gov.au Protecting our fishing future
PART A – Current permit holder’s details
1
Name(s) of current permit holder(s)
2
3
Postal address
ABN number
(if applicable)
Note: A business name is not necessarily a legal entity.
A business name is either owned by a person, or persons,
of a company.
Postcode
4
Street address (if same as postal address, write ‘As above’)
Postcode
5
Contact person’s name
Business phone
Mobile
Fax
Email address
ABN: 81 098 497 517
TP (Sep 14) Page 1 of 3
TP
Transfer of
Fishing Permits
This form should be completed when a permit holder wants to
permanently transfer their permit to another party.
Fees may apply for this service. Please refer to the schedule of fees
listed on the AFMA website www.afma.gov.au or contact AFMA
licensing on 1300 723 621.
What you need to do
1) The current permit holder(s) and the proposed permit holder(s)
must complete this form and make sure it is signed and dated by
both parties.
2) Post or fax this completed form along with the attachment(s) to:
Australian Fisheries Management Authority
Box 7051
Canberra Business Centre ACT 2610
Fax: (02) 6225 5440
Who can sign this form?
Companies – Where the company has a sole director who is also
the sole Company Secretary, this form must be signed and dated
by that person. If the company (pursuant to section 204A of the
Corporations Act 2001) does not have a Company Secretary, a Sole
Director can sign and date alone.
If the company has more than one Director, this form must be signed
and dated by two Directors or by one Director and the Company
Secretary.
Joint holders – If the concession is in more than one name
(partnership or otherwise), all holders must sign and date this form.
If there are more than two holders, please attach a separate sheet.
Power of Attorney or Authorities – To sign under a Power of
Attorney or Authority you must produce an original certified copy of
the Power of Attorney or Authority to this form.
Warning
Both parties should note that the transfer of a fishing permit will not
transfer any corresponding eligibility for statutory fishing rights to be
granted under Management Plans for any fishery. AFMA can be
contacted on 1300 723 621 for further information about eligibility
under fisheries management plans.
Privacy information
The Australian Fisheries Management Authority (AFMA) is
authorised to collect the information provided on this form under the
Fisheries Management Act 1991. The information provided will be
used for assessing your eligibility for a Commonwealth fishing
entitlement.
Consistent with AFMA’s objectives and/or functions and/or powers,
the information provided may be disclosed to:
• Australian, State and Territory governments(s) and agencies
involved in the enforcement of law
• Australian and International fisheries research and management
organisations, and
• foreign governments in support of domestic and international
obligations in relation to fisheries management,research and
compliance.
For more information about privacy please contact AFMA on
1300 723 621.
AFMA Direct 1300 723 621 www.afma.gov.au Protecting our fishing future
PART A – Current permit holder’s details
1
Name(s) of current permit holder(s)
2
3
Postal address
ABN number
(if applicable)
Note: A business name is not necessarily a legal entity.
A business name is either owned by a person, or persons,
of a company.
Postcode
4
Street address (if same as postal address, write ‘As above’)
Postcode
5
Contact person’s name
Business phone
Mobile
Fax
Email address
ABN: 81 098 497 517
Registered
Authorised Agent
Nomination
RA
RA (September/17)
Page 2 of 3
To sign this form you must be the concession holder(s) or
their registered Primary Agent. Note Primary Agents cannot
authorise other Primary Agents or the permanent transfer
function. It is an offence under s.136.1(1) of the Criminal Code
Act 1995 to make a false or misleading statement or omission.
I, the concession holder detailed in this form:
• Applytohavethepersonspeciedinthisformappointedto
actonmybehalfforthepurposesasspecied,and
• Acknowledge that I will be bound by all acts or omissions of
this Agent so appointed until written notice of revocation of the
Agent’s authority is received by AFMA, and
• Agree to the terms and conditions for use of AFMA electronic
It is an offence under s.136.1(1) of the Criminal Code Act 1995 to
make a false or misleading statement or omission.
I, the appointed Agent detailed in this form:
•
Apply to be registered to act for and on behalf of the
concessionholderforthepurposesasspeciedinthisform,
and
• Acknowledge that I may be liable personally under the Act or
to the Principal for unlawful actions as an Agent, and
• Agree to transact electronically with AFMA, in accordance
with AFMA’s requirements, and to receive formal notices
electronically from AFMA, as allowed for under the Electronic
Transactions Act 1999, and
• Agree to the terms and conditions for use of AFMA electronic
services as detailed overleaf, and
• Declare that the information I have provided on this form is, to
the best of my knowledge, true and correct.
ThisformshouldbeusedtonominateanAgenttodospecic
things on behalf of the concession holder (or all joint concession
holders).
This authority is acknowledged to bind the concession holder as
principal and each co-owner jointly and severally for the acts and
omissions of the authorised Agent appointed.
What you need to do
1. All joint concession holders should sign and date this authority.
2. Post, fax or email this completed form along with
attachment(s) to:
Australian Fisheries Management Authority
Box 7051
Canberra Business Centre ACT 2610
Fax: (02) 6225 5426
Email: licensing@afma.gov.au
Ifthereisinsufcientspaceforallsignatoriespleaseattacha
separate sheet.
Declaration by Concession holder(s) / Primary
Agent
Declaration by Agent
Notes on completing this form
Signature
and date
Signature
and date
Signature
and date
/ /
/ /
/ /
Full Name
Full Name
Full Name
Position held in the company (if applicable)
Position held in the company (if applicable)
Position held in the company (if applicable)
services, and
• Declare that the information provided on this form is, to the
best of my knowledge, true and correct.
Signature
/ /
and date
Full Name
TP (Sep 14) Page 1 of 3
TP
Transfer of
Fishing Permits
This form should be completed when a permit holder wants to
permanently transfer their permit to another party.
Fees may apply for this service. Please refer to the schedule of fees
listed on the AFMA website www.afma.gov.au or contact AFMA
licensing on 1300 723 621.
What you need to do
1) The current permit holder(s) and the proposed permit holder(s)
must complete this form and make sure it is signed and dated by
both parties.
2) Post or fax this completed form along with the attachment(s) to:
Australian Fisheries Management Authority
Box 7051
Canberra Business Centre ACT 2610
Fax: (02) 6225 5440
Who can sign this form?
Companies – Where the company has a sole director who is also
the sole Company Secretary, this form must be signed and dated
by that person. If the company (pursuant to section 204A of the
Corporations Act 2001) does not have a Company Secretary, a Sole
Director can sign and date alone.
If the company has more than one Director, this form must be signed
and dated by two Directors or by one Director and the Company
Secretary.
Joint holders – If the concession is in more than one name
(partnership or otherwise), all holders must sign and date this form.
If there are more than two holders, please attach a separate sheet.
Power of Attorney or Authorities – To sign under a Power of
Attorney or Authority you must produce an original certified copy of
the Power of Attorney or Authority to this form.
Warning
Both parties should note that the transfer of a fishing permit will not
transfer any corresponding eligibility for statutory fishing rights to be
granted under Management Plans for any fishery. AFMA can be
contacted on 1300 723 621 for further information about eligibility
under fisheries management plans.
Privacy information
The Australian Fisheries Management Authority (AFMA) is
authorised to collect the information provided on this form under the
Fisheries Management Act 1991. The information provided will be
used for assessing your eligibility for a Commonwealth fishing
entitlement.
Consistent with AFMA’s objectives and/or functions and/or powers,
the information provided may be disclosed to:
• Australian, State and Territory governments(s) and agencies
involved in the enforcement of law
• Australian and International fisheries research and management
organisations, and
• foreign governments in support of domestic and international
obligations in relation to fisheries management,research and
compliance.
For more information about privacy please contact AFMA on
1300 723 621.
AFMA Direct 1300 723 621 www.afma.gov.au Protecting our fishing future
PART A – Current permit holder’s details
1
Name(s) of current permit holder(s)
2
3
Postal address
ABN number
(if applicable)
Note: A business name is not necessarily a legal entity.
A business name is either owned by a person, or persons,
of a company.
Postcode
4
Street address (if same as postal address, write ‘As above’)
Postcode
5
Contact person’s name
Business phone
Mobile
Fax
Email address
ABN: 81 098 497 517
TP (Sep 14) Page 1 of 3
TP
Transfer of
Fishing Permits
This form should be completed when a permit holder wants to
permanently transfer their permit to another party.
Fees may apply for this service. Please refer to the schedule of fees
listed on the AFMA website www.afma.gov.au or contact AFMA
licensing on 1300 723 621.
What you need to do
1) The current permit holder(s) and the proposed permit holder(s)
must complete this form and make sure it is signed and dated by
both parties.
2) Post or fax this completed form along with the attachment(s) to:
Australian Fisheries Management Authority
Box 7051
Canberra Business Centre ACT 2610
Fax: (02) 6225 5440
Who can sign this form?
Companies – Where the company has a sole director who is also
the sole Company Secretary, this form must be signed and dated
by that person. If the company (pursuant to section 204A of the
Corporations Act 2001) does not have a Company Secretary, a Sole
Director can sign and date alone.
If the company has more than one Director, this form must be signed
and dated by two Directors or by one Director and the Company
Secretary.
Joint holders – If the concession is in more than one name
(partnership or otherwise), all holders must sign and date this form.
If there are more than two holders, please attach a separate sheet.
Power of Attorney or Authorities – To sign under a Power of
Attorney or Authority you must produce an original certified copy of
the Power of Attorney or Authority to this form.
Warning
Both parties should note that the transfer of a fishing permit will not
transfer any corresponding eligibility for statutory fishing rights to be
granted under Management Plans for any fishery. AFMA can be
contacted on 1300 723 621 for further information about eligibility
under fisheries management plans.
Privacy information
The Australian Fisheries Management Authority (AFMA) is
authorised to collect the information provided on this form under the
Fisheries Management Act 1991. The information provided will be
used for assessing your eligibility for a Commonwealth fishing
entitlement.
Consistent with AFMA’s objectives and/or functions and/or powers,
the information provided may be disclosed to:
• Australian, State and Territory governments(s) and agencies
involved in the enforcement of law
• Australian and International fisheries research and management
organisations, and
• foreign governments in support of domestic and international
obligations in relation to fisheries management,research and
compliance.
For more information about privacy please contact AFMA on
1300 723 621.
AFMA Direct 1300 723 621 www.afma.gov.au Protecting our fishing future
PART A – Current permit holder’s details
1
Name(s) of current permit holder(s)
2
3
Postal address
ABN number
(if applicable)
Note: A business name is not necessarily a legal entity.
A business name is either owned by a person, or persons,
of a company.
Postcode
4
Street address (if same as postal address, write ‘As above’)
Postcode
5
Contact person’s name
Business phone
Mobile
Fax
Email address
ABN: 81 098 497 517
Registered
Authorised Agent
Nomination
RA
RA (Septemb
er/17
)
Page 3 of 3
Trading Name – All individuals for corporate owners of a trading
namemustbespeciedastheapplicantsandallsignthisform.
Companies – A company may sign in any manner (including under
seal) authorised by s127 of the Corporations Act 2001. If a company
has more than one Director this form may be signed and dated by
two Directors. If a company has only one Director, that Director may
sign and date this form. In each case the Director should print their
name and note their designation as ‘Director’, ‘Sole Director’ or ‘Sole
Director and Secretary’ as the case may be.
Joint holders – If the concession is in more than one name
(partnership or otherwise), all holders must sign and date this form.
Please attach a separate sheet if the number of holders exceeds the
space available.
Power of Attorney or Authorities – If a party signs under a Power of
Attorney the attorney must state ‘Signed by (name of principal) by his/
her/their/its attorney (name of attorney) pursuant to Power of Attorney
Register Number (number or date if not required to registered in that
Client Service Charter – This form will be processed in accordance
with AFMA’s Client Service Charter, available on the AFMA website
www.afma.gov.au. This is subject to you supplying AFMA with
everything needed to complete the transaction.
agree to transact electronically with us, in accordance with AFMA’s
requirements, and to receive formal notices electronically from us, as
allowed for under the Electronic Transactions Act (1999). “Notice”
means any form of written communication between you and us.
Restrictions and termination of access – We reserve the right
to restrict your access to AFMA electronic services for any reason.
You may cancel your use at any time by contacting AFMA. We may
terminate your use at any time for any reason without prior notice,
uding for: security reasons; or if in our opinion you have breached Incl
these terms and conditions.
Maintaining security–Youmustchangeyourpasswordonrst
use. “Password” means the 6-14 digit alphanumeric combination that
enables you to use AFMA electronic services. You must not disclose
your password to any other person. If you suspect or believe that
another person knows your password, you must report the matter
to us. You will be liable for all transactions carried out by any other
person who uses your password to access AFMA electronic services.
You must take reasonable steps to ensure the security of your
ancillary equipment.
Inaccuracies and disputes – If you believe any transaction is wrong
or unauthorised, you must immediately notify us. We may ask you
to provide further information. We will investigate any complaint
about disputed information. If we are unable to settle your complaint
immediately, to your and our satisfaction, we will advise you of the
procedures for further investigation and resolution and may request
further relevant details from you. It is recommended that you record
all receipt numbers, payment and transfer reference numbers as
issued to you to assist in checking inaccuracies and resolving
disputes.
Our liability – To the extent permitted by law, we, our Agents or
nominated service providers will not be liable to you for any loss
including consequential damage, arising as a result of: (i) your failure
to properly protect your password; (ii) any breakdown or interruption
in the AFMA electronic systems; (iii) any inaccuracy, corruption of
data, errors or omissions resulting from a failure by you to properly
protect your password; (iv) any inaccuracy, corruption of data, errors
or omissions caused by the operation (or failure) of your ancillary
equipment; (v) the use of your password by another person; (vi) any
termination of your access to AFMA electronic services.
Miscellaneous – You are responsible for ensuring that your
contact details are kept up to date. This Agreement with you and
the transactions carried out under it are governed by and construed
in accordance with the law for the time being in force in the
Australian Capital Territory and the parties submit to the jurisdiction
of the courts of the Australian Capital Territory. You authorise us to
give information about you to others in order to execute your
instructions to us where we reasonably think it necessary.
Changes to terms and conditions – We may change these terms
and conditions from time to time or may vary services provided to
you. We will notify you of any change to the terms and conditions.
We are not obliged to give you advance notice if an immediate
change to the terms and conditions is deemed necessary for the
security of AFMA electronic services or individual accounts.
Privacy information – The Australian Fisheries Management=
Authority (AFMA) has obligations under the Privacy Act 1988 an in
particular under the Australian Privacy Principles and is authorised to
collect the information provided on this form under the Fisheries
Management Act 1991 and the Torres Strait Fisheries Act 1984.
Information is collected pursuant to our data collection functions
under the Fisheries Administration Act 1991 (s7). Consistent with
AFMA’s objectives and/or
functions and /or powers, the information
provided may be disclosed to:
• Australian, State and Territory government(s) and agencies for
regulatory or enforcement purposes,
• AustralianandInternationalfisheriesresearchandmanagement
organisations
• Foreign governments and foreign government agencies for the
purpose of fisheries management, research and compliance, and
•
International and regional fisheries management bodies where AFMA
is obliged under international agreements and decisions to do so.
More information about privacy and the disclosure of information can be
found in AFMA’s Information Disclosure policy available on the AFMA
website www.afma.gov.au.
Who can sign this form?
State) who states that he/she has no notice of the revocation of the
power’. A copy of the registered power should accompany this form.
Trusts–Thebeneficialinterestsinanytrustwillnotberecognisedby
AFMA. A trustee may only sign and date this form as the legal owner
in their own right.
Standard terms and conditions for use of AFMA
services
Terms and Conditions for use of AFMA electronic
services
Notices from AFMA –
Should
electronic
services
be
provided, y
ou
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Registered Authorised Agent Nomination Form Oct 17 (Australian Fisheries Management Authority)

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Completed 20 July 2020

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