Fill - Free fillable Seasonal Lease Application (PDF, 150 KB) (Australian Fisheries Management Authority) PDF form

ApplicationforSeasonalLease LC

ABN81098497517 ofFishingConcessions Page1of2

______________________________________________________________________________________________________

AFMADirect1300723621

www.afma.gov.au Protectingourfishingfuture



HaveyouregisteredforGOFish?–Aneasywaytomanageyourconcessionsonline



eesmayapplyforthisservice,contactAFMAon1300723621



PARTA–Currentconcessionholder(lessor)

details



1.Nameofcurrentconcessionholder(lessor)



AFMAClientID



2.Enddateoflease

(

Northern Prawn Fishery Only)



3.Whichfishingseasondoes

thistransactionapplyto?

(

The current season or the next new season, leave blank if current

season

)



_______________________________________________

PARTB–Proposedconcessionholder(lessee)

details

Note:iftheproposedconcessionholderisanewclientto

AFMA,aclientform(CF)willneedtobecompletedbefore

thisleasecantakeplace.



4.Nameofproposedconcessionholder(lessee)



AFMAClientID:



Proposedconcessionholdercontactname





Proposedconcessionholdercontactnumber



Checklistofattachments‐(Tick appropriate box[es])

ETBF–EasternTunaandBillfish



HIMI–HeardIslandandMcDonaldIslands



MIT–MacquarieIslandToothfish



NPF‐NorthernPrawnFishery



SBT–SouthernBluefinTuna



SCA–BassStraitCentralZone

SDW–IndividualtransferableQuota(ITQs)

SESS–SouthernandEasternScalefishandShark 



SPF–SmallPelagicFishery

SQJ–SouthernSquidJig

WTBF–WesternTunaandBillfish

OriginalcertifiedcopyoftheAuthorityorPowerof

Attorney(ifapplicable)



_________________________________________________



PARTC–DeclarationbyCURRENTconcession

holder(lessor)

Tosignthisformyoumustbetheconcessionholder/sortheir

registeredauthorisedagent.Itisanoffenceunders136.1(1)ofthe

CriminalCodeAct1995tomakeafalseormisleadingstatement

oromission.



I/We,thecurrentconcessionholder(lessor)detailedinPartAof

thisform:

 Declarethattheinformationprovidedonthisformandthe

attachmentsis,tothebestofmy/ourknowledge,trueand

correct.

 DeclarethatIamapartyortheauthorisedagentofoneof

theparties,tothistransaction.

 Ideclareasthepersonlodgingthisinstrumentfor

registrationth

atbothpartieshaveagreedtothetransaction

asdetailedintheaccompanyingattachmentformfor

individualfisheries.

 Thisdeclarationconfirmsonbehalfofbothpartiesthedue

performanceofthattransactionandthatbothparties

authorisethisdealingtonowberegistered.



Signature

anddate



FullName



Positionheld



/ /

Ifrequired,asecondsignatureboxislocatedoverthepage.

ApplicationforSeasonalLease LC

ABN81098497517 ofFishingConcessions Page2of2

_________________________________________________ __________________________________________________

AFMADirect1300723621

www.afma.gov.au

8.Ifyouwishtocompletethisformonline,usethe

writeablePDFontheAFMAwebsite.Oncecompleted,print

andsigntheformbeforesubmittingittoAFMAfor

processing.



___

Protectingourfishingfuture



HaveyouregisteredforGOFish?–Aneasywaytomanageyourconcessionsonline

Signature

anddate



FullName



/ /

9.Wh

ocansignthisform?

 Thecurrentconcessionholder/sortheirregistered

authorisedagent/s.

 Inthecaseofacompanyyoumuststateyourposition

heldinthecompany.



 IfsigningasacompanydirectorandyouarenotaSole

DirectororCompanySecretary/Directorthentwo

directorsmustsignthisform.(pursuanttosection204A

oftheCorporationsAct2001).

Positionheld





Whatyouneedtoknow;



10.Post,faxoremailthiscompletedformalongwith

attachment(s)to:



AustralianFisheriesManagementAuthority

Box70

51

CanberraBusinessCentreACT2610

Fax:(02)62255440

Email:licensing@afma.gov.au

1.Aformlistedbelowshouldalsobecompletedtolease

StatutoryFishingrights(SFRs)orIndividualtransferable

QuotaUnits(ITQs)inthefollowingfisheries:



 BassStraitCentralZoneScallop(SCA)

 EasternTunaandBillfish(ETBF)

 HeardIslandandMcDonaldIsland(HIMI)



Privacyinformation‐

TheAustralianFisheriesManagement

Authority(AFMA)isauthorisedtocollecttheinformation

providedonthisformundertheFisheriesManagementAct

1991.Informationiscollectedpursuanttoourdata

collectionfunctionsundertheFisheriesAdministrationAct

1991(section7)

 MacquarieIslandToothfish(MIT)

 NorthernPrawnFishery(NPF)

 IndividualtransferableQuota(ITQs)(SDW)

 SmallPelagicFishery(SPF)

 SouthernandEasternScalefishandShark(SESS)

 SouthernBluefinTuna(SBT)

 SmallSquidJig(SQJ)



 WesternTunaandBillfish(WTBF)

ConsistentwithAFMA’sobjectivenessand/orfunctions

and/orpowers,theinformationprovidedmaybedisclosed

to:



2.Thecurrentconc

essionholder(lessor)mustcomplete

thisformandmakesureitissignedanddated.

 Australian,StateandTerritorygovernmentsandagencies

involvedintheenforcementoflaw;



3.Thech

ecklistonpage1mustbecompletedtoshowthe

documentsbeingsubmittedwiththisform.

 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



4.Co

mpletetheappropriateattachmentformforthe

relevantfi

sheriesforwhichtheconcessionisbeing leased.



5.Allformsareavailablefromwww.afma.gov.auorby

emailinglicensing@afma.gov.auorbyco

ntactingAFMA

Direct1300723621.



6.ClientIDisthe6digitnumberthatcanbefoundonthe

toprightsideofallthedocumentssentbyAFMA.



7.Aleasewillbevalidfromthedatetheleaseisregistered

totheendoftheseaso

nitisregisteredin.Apartfromthe

NorthernPrawnFisherywhospecifyanenddateforthe

lease.



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Seasonal Lease Application (PDF, 150 KB) (Australian Fisheries Management Authority)

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