Fillable TIB Application TIB Application (PDF, 539 KB) (Australian Fisheries Management Authority)

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TIB Application TIB Application (PDF, 539 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(2), 21(1), Section 24, or 25A
Application for Grant or Variation of Traditional Inhabitant Fishing Boat
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 new licence
the renewal of
making an entry in
variation
existing licence number TIB…………………………… currently valid to ……../………/………
in respect of the boat described in Schedule 1, authorising the use of the boat by me, or a person acting on my behalf (who is also a
Traditional Inhabitant), in the Joint Authority Fisheries described in Schedule 2 for taking, processing and carrying fish that have
been taken with the use of that boat.
I forward herewith the fee of $…………………………………….
Details of Applicant
Name in full: ………………………………………………………………………………….
Date of birth: ……/……/……
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 – Description of Boat
Schedule 2 – Joint Authority Fisheries
Traditional Inhabitant Boat Mark…………………………….
Community …………………………………………………..
Boat Name …………………………………………………...
Boat Make …………………………………………………...
Length (m) ^……………………………………………….…
Engine Make…………………………………………….……
Horsepower…………………………………………………...
Please tick:
Tropical Rock Lobster
Pearl Shell
Reef Line
Prawn
Spanish Mackerel
Trochus
Crab
Beche de mer
Other……………….
Declaration by Applicant
I declare that:
1. I am a Traditional Inhabitant and citizen of ……………………………………………………………………………….
2. That the information provided on this form is, to the best of my knowledge, true and correct and I undertake to
update that information as may be necessary..
3. I am the owner of the boat described in Schedule 1
Signature
Date: ……/……/……
^ Refer to Torres Strait Management Notice Number 47 regarding how to measure boat length
PAYMENT OPTIONS
________ AFMA A.B.N. 81 098 497 517
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…………………………………………….
*Please check the fee schedule attached to calculate the fee payable.
**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.
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TIB Application TIB Application (PDF, 539 KB) (Australian Fisheries Management Authority)

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Completed 18 July 2020

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