Fillable Temporary Transfer Of Boat Application PDF, 532 KB) (Australian Fisheries Management Authority)

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Temporary Transfer Of Boat Application PDF, 532 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 Section 25
Application for Temporary Transfer of 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:
I, the holder of Fishing Boat Licence number ………………………valid to ……../………/……… granted under the
Torres Strait Fisheries Act 1984 in respect of the boat described in Schedule 1, apply to have that licence temporarily
transferred for the period described at Schedule 2 to the proposed transferee described in Schedule 4.
I forward herewith the fee of $……………………………………. Tick if transfer of licence only without boat.
Schedule 1: Details of Boat
Boat Name
Boat Mark
Schedule 2: Proposed Transfer Period
Start Date
End Date
……..../……..../……….
^A temporary transfer of a licence cannot exceed the expiry date of the licence.
Schedule 3: Details of Transferor
Name in full: ………………………………………………………………………………….
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 4: Details of Transferee
Name in full: ………………………………………………………………………………….
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:
Declaration by Transferee
I declare that:
1. the applicant is a citizen of/ a company in which the controlling interest is held by citizens of *
……………………………………………………………………..
(write country here)
If the applicant is a Traditional Inhabitant, a completed Traditional Inhabitant Identification Form must be attached.
2.
I
further declare 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..
Signature
Date: ……/……/……
Notes:
WARNING AGAINST INCREASED FISHING EFFORT
It is the responsibility of the transferee to undertake due diligence when making arrangements in relation to the
transfer for which you are applying for. Enquiries should be made as to whether the licence can be used for the
purpose for which it is intended.
Directions:
* Delete whichever inapplicable
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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Completed 15 July 2020

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