Fill - Free fillable Transfer Of Fish Processor (PDF, 552 KB) (Australian Fisheries Management Authority) PDF form

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 Transfer of Fishing /Processor-Carrier

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 Processor / Carrying 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: 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 3: 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. If the licence being transferred is a Traditional Inhabitant Fishing Boat Licence (tick whichever applies),

I confirm that I am now the owner of the boat described in Schedule 1 of the licence (attached),

I am the owner of the boat described in Schedule 1 of the attached Traditional Inhabitant Fishing Boat

Licence application form.

3. 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.

Schedule(of(Fees(

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