Return with application to:
Torres Strait Protected Zone
Joint Authority
PO Box 7051
Canberra Mail Centre 2600
Traditional Inhabitant Identification Form
For information, contact: 1300 723 621 or fax (02) 6225 5440
Details of Applicant:
Name in full
Place of birth
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:
Instructions to identifying persons:
This identification form is used to verify the “traditional inhabitant” status (as defined in the Torres Strait Fisheries Act
1984 [the Act], the Torres Strait Treaty, and decisions of the Protected Zone Joint Authority) of the individual named
above in relation to applications submitted in relation to authorities granted under the Act. Traditional inhabitants are
eligible for authorities granted under the Act that are not available to, or have limited availability to, people who are
not traditional inhabitants. Some of these authorities may provide access in fisheries that are reserved exclusively for
traditional inhabitants.
By completing this identification form, you are verifying that you have ensured the applicant meets ALL of the
criteria described beside the type of “traditional inhabitant” which you have ticked, and that any required attachments
have been provided with the identification form.
The PZJA may also utilise other information (in addition to this identification form) to determine or review an
applicant’s traditional inhabitant” status.
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.
- .
Declaration by first identifying person:
I, ……………………………………………, the Councillor of …………………………………Community
(insert name) (insert community name)
verify that I have known the applicant named above for …………… years and that the applicant is:
(tick the appropriate description below)
A Torres Strait Islander who lives in the Protected Zone or adjacent coastal area of Australia and is an Australian
citizen who maintains traditional customary associations with the area in relation to subsistence or livelihood or
social, cultural or religious activities.
OR
An Aboriginal traditional inhabitant of the Torres Strait or the northern peninsula area as defined under the Torres
Strait Treaty and who is resident of that area.
NOTE: In the above two cases the applicant may be requested by either the Councilor, the Mayor, or the
PZJA to supply a family tree, and/or evidence to support the applicant’s claim that they reside in the
abovementioned areas.
OR
Traditional Inhabitant Identification Form - Page 2 of 2
This Identification form relates to the applicant:
Name in full
Declaration by first identifying person (continued):
A Papua New Guinea traditional inhabitant from the PNG area of jurisdiction of the Protected Zone who is now an
Australian citizen and resides in the Protected Zone or adjacent coastal area of Australia who was granted
permanent residency status under the 1978/79 Immigration Taskforce Amnesty List. Or is a descendent of such a
person.
NOTE: The applicant must attach either a letter of confirmation from the Department of Immigration and
Border Protection, OR if the applicant is a descendant of such a person, they must attach a letter from the
Department of Immigration and Border Protection for their parent and a copy of their birth certificate as
evidence that they are related to the person named in the letter.
I confirm that any required preliminary evidence is attached.
Councillors Signature:………………………………………………………………. Date: ……/……/……
Declaration by second identifying person:
I, ……………………………………………, the Mayor^ of …………………………………………Council, having:
(insert name) (insert council name)
(tick the appropriate description below)
known the applicant for ………… years,
OR
sighted supporting documentation which is attached
#
,
agree with Councillor ………………………………………… that the applicant is:
(insert Councillor’s name)
(tick the appropriate description below)
A Torres Strait Islander who lives in the Protected Zone or adjacent coastal area of Australia and is an Australian
citizen who maintains traditional customary associations with the area in relation to subsistence or livelihood or
social, cultural or religious activities.
OR
An Aboriginal traditional inhabitant of the Torres Strait or the northern peninsula area as defined under the Torres
Strait Treaty and who is resident of that area.
OR
A Papua New Guinea traditional inhabitant from the PNG area of jurisdiction of the Protected Zone who is now an
Australian citizen and resides in the Protected Zone or adjacent coastal area of Australia who was granted
permanent residency status under the 1978/79 Immigration Taskforce Amnesty List. Or is a descendent of such a
person.
I confirm that any required preliminary evidence is attached.
Mayors signature:……………………………………………………………………. Date: ……/……/……
(^ - Note that the Councillor and Mayor signing this identification form must be from the same Council.)
(
#
- Note that the first identifying persons declaration is insufficient supporting documentation for the second
identifying person to independently determine whether the applicant meets the described criteria.)
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome