ApplicationforSeasonalLease LC
ABN81098497517 ofFishingConcessions Page1of2
______________________________________________________________________________________________________
AFMADirect1300723621
www.afma.gov.au Protectingourfishingfuture
HaveyouregisteredforGOFish?Aneasywaytomanageyourconcessionsonline
F
eesmayapplyforthisservice,contactAFMAon1300723621
PARTACurrentconcessionholder(lessor)
details
1.Nameofcurrentconcessionholder(lessor)
AFMAClientID
2.Enddateoflease
(
Northern Prawn Fishery Only)

3.Whichfishingseasondoes
thistransactionapplyto?
(
The current season or the next new season, leave blank if current
season
)
_______________________________________________
PARTBProposedconcessionholder(lessee)
details
Note:iftheproposedconcessionholderisanewclientto
AFMA,aclientform(CF)willneedtobecompletedbefore
thisleasecantakeplace.
4.Nameofproposedconcessionholder(lessee)
AFMAClientID:
Proposedconcessionholdercontactname

Proposedconcessionholdercontactnumber
5.
Checklistofattachments‐(Tick appropriate box[es])
ETBFEasternTunaandBillfish
HIMIHeardIslandandMcDonaldIslands

MITMacquarieIslandToothfish
NPF‐NorthernPrawnFishery
SBTSouthernBluefinTuna
SCABassStraitCentralZone
SDWIndividualtransferableQuota(ITQs)
SESSSouthernandEasternScalefishandShark 
SPFSmallPelagicFishery
SQJSouthernSquidJig
WTBFWesternTunaandBillfish
OriginalcertifiedcopyoftheAuthorityorPowerof
Attorney(ifapplicable)
_________________________________________________
PARTC–DeclarationbyCURRENTconcession
holder(lessor)
Tosignthisformyoumustbetheconcessionholder/sortheir
registeredauthorisedagent.Itisanoffenceunders136.1(1)ofthe
CriminalCodeAct1995tomakeafalseormisleadingstatement
oromission.
I/We,thecurrentconcessionholder(lessor)detailedinPartAof
thisform:
Declarethattheinformationprovidedonthisformandthe
attachmentsis,tothebestofmy/ourknowledge,trueand
correct.
DeclarethatIamapartyortheauthorisedagentofoneof
theparties,tothistransaction.
Ideclareasthepersonlodgingthisinstrumentfor
registrationth
atbothpartieshaveagreedtothetransaction
asdetailedintheaccompanyingattachmentformfor
individualfisheries.
Thisdeclarationconfirmsonbehalfofbothpartiesthedue
performanceofthattransactionandthatbothparties
authorisethisdealingtonowberegistered.
Signature
anddate

FullName
Positionheld
/
/
/ /
Ifrequired,asecondsignatureboxislocatedoverthepage.
ApplicationforSeasonalLease LC
ABN81098497517 ofFishingConcessions Page2of2
_________________________________________________ __________________________________________________
AFMADirect1300723621
www.afma.gov.au
8.Ifyouwishtocompletethisformonline,usethe
writeablePDFontheAFMAwebsite.Oncecompleted,print
andsigntheformbeforesubmittingittoAFMAfor
processing.
___
Protectingourfishingfuture
HaveyouregisteredforGOFish?Aneasywaytomanageyourconcessionsonline
Signature
anddate
FullName
/ /
9.Wh
ocansignthisform?
Thecurrentconcessionholder/sortheirregistered
authorisedagent/s.
Inthecaseofacompanyyoumuststateyourposition
heldinthecompany.

IfsigningasacompanydirectorandyouarenotaSole
DirectororCompanySecretary/Directorthentwo
directorsmustsignthisform.(pursuanttosection204A
oftheCorporationsAct2001).
Positionheld

Whatyouneedtoknow;
10.Post,faxoremailthiscompletedformalongwith
attachment(s)to:
AustralianFisheriesManagementAuthority
Box70
51
CanberraBusinessCentreACT2610
Fax:(02)62255440
Email:licensing@afma.gov.au
1.Aformlistedbelowshouldalsobecompletedtolease
StatutoryFishingrights(SFRs)orIndividualtransferable
QuotaUnits(ITQs)inthefollowingfisheries:
BassStraitCentralZoneScallop(SCA)
EasternTunaandBillfish(ETBF)
HeardIslandandMcDonaldIsland(HIMI)
Privacyinformation‐
TheAustralianFisheriesManagement
Authority(AFMA)isauthorisedtocollecttheinformation
providedonthisformundertheFisheriesManagementAct
1991.Informationiscollectedpursuanttoourdata
collectionfunctionsundertheFisheriesAdministrationAct
1991(section7)
MacquarieIslandToothfish(MIT)
NorthernPrawnFishery(NPF)
IndividualtransferableQuota(ITQs)(SDW)
SmallPelagicFishery(SPF)
SouthernandEasternScalefishandShark(SESS)
SouthernBluefinTuna(SBT)
SmallSquidJig(SQJ)
WesternTunaandBillfish(WTBF)
ConsistentwithAFMA’sobjectivenessand/orfunctions
and/orpowers,theinformationprovidedmaybedisclosed
to:
2.Thecurrentconc
essionholder(lessor)mustcomplete
thisformandmakesureitissignedanddated.
Australian,StateandTerritorygovernmentsandagencies
involvedintheenforcementoflaw;
3.Thech
ecklistonpage1mustbecompletedtoshowthe
documentsbeingsubmittedwiththisform.
AustralianandInternationalfisheriesresearchand
managementorganisations,and
Foreigngovernmentsinsupportofdomesticand
internationalobligationsinrelationtofisheries
management,researchandcompliance.
FormoreinformationaboutprivacypleasecontactAFMA
on1300723621
4.Co
mpletetheappropriateattachmentformforthe
relevantfi
sheriesforwhichtheconcessionisbeing leased.
5.Allformsareavailablefromwww.afma.gov.auorby
emailinglicensing@afma.gov.auorbyco
ntactingAFMA
Direct1300723621.
6.ClientIDisthe6digitnumberthatcanbefoundonthe
toprightsideofallthedocumentssentbyAFMA.
7.Aleasewillbevalidfromthedatetheleaseisregistered
totheendoftheseaso
nitisregisteredin.Apartfromthe
NorthernPrawnFisherywhospecifyanenddateforthe
lease.
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