Application for OrchardApprovalforLychees to the United States of America

(Only one application per form)

ORCHARDNAME

PROPERTY ADDRESS

CONTACT DETAILS

State:
Postcode:
Name:
E-mail address:
Ph: ( )
Postal/Business
address
State: / Postcode:
Nominated packhouse: / Department Reg. Est. No:
Nominated crop monitor(s):
NOMINATED AUDIT DATE (select one)
Week of 27August Week of 24 September
DECLARATION
By applying for export under the protocol, I/we (must be individual applying – cannot be name of business),...... agree to the following:
  • To meet the conditions and requirements that apply to the export of Australian lychee fruit to the nominated protocol market(s).
  • To undertake regular and routine management, to ensure that quarantine pests of concern to protocol markets are adequately managed;
  • The Department of Agriculture and Water Resources Privacy Notice (attached).

Failure to comply with the aforementioned conditions and restrictions, including but not limited to providing access to properties and documents required under the above agreements, may lead to importing country requirements not being met or not being verified which will prevent certification being issued.
ADDRESS FOR SUBMITTING APPLICATION:
OR
Jill Houser
ALGA EO
PO BOX 6120
Mooloolah QLD 4553
ORCHARD
REPRESENTATIVE
(Print name) / SIGNATURE / DATE
WITNESS
(Print name) / SIGNATURE / DATE

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Orchard Name: / Office Use Only
Block Location (Address) / Block Number/Name (as Identified on Map) / Area (Hectares) / Export Destination / Export Listed Block Number
USA
USA
USA
USA
USA
USA
USA
USA
USA
USA
USA
USA
USA

BLOCK/MAP DETAILS:

It is mandatory that a map of the property be provided with block details. It is a requirement that the grower be able to identify exactly the physical location of the export listed orchard. The grower must be able to clearly distinguish the block(s) identified for export listing. Growers must use the block / orchard names submitted in this application for the entire season. Growers exporting to the USA who exported during a previous season must title their block numbers the same as that season. There must be a detailed map of the orchard with clear delineation of the export listed block(s), both on the map provided and on-site.

Maps provided must include key information (i.e. road names) to identify the property through a searchable computer-based mapping program (eg. Google maps). Maps may not be hand-drawn.

A single block must not span across any significant physical barriers – ie roads, ridges etc.

NOTE:growers exporting to the USA who exported during the 2017–18 season must title their block numbers the same as last season and that growers must use the block/orchard names submitted in the application for the entire export season

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Privacy Notice Horticulture Exports Program

‘Personal information’ means any information or opinion about an identified, or reasonably identifiable, individual.

The collection of personal information by the Department of Agriculture and Water Resources (the department) in relation to this application is for the purpose of export listing, meeting requirements under nominated importing country protocols, to assist in the collection of industry levies, and related purposes. If the relevant personal information requested in this application form is not provided by you, the department will be unable to assess your eligibility to export your commodity to importing countries.

Personal information may be disclosed to Australian Diplomatic Posts, and relevant Industry Peak Bodies, persons or organisations where necessary for these purposes, provided the disclosure is consistent with relevant laws, in particular the Privacy Act 1988. Your personal information will be used and stored in accordance with the Privacy Principles.

By completing and submitting this form you consent to the disclosure of all personal information contained in this form to the National Plant Protection Organisation (NPPO) of the nominated importing countries. The department has not taken steps to ensure that the NPPO of importing countries does not breach the Privacy Principles. This means that:

  • the NPPO will not be accountable under the Privacy Act
  • you will not be able to seek redress under the Privacy Act
  • you may not be able to seek redress in the overseas jurisdiction.

NPPO of importing countries may not be subject to any privacy obligations or to any principles similar to the Privacy Principles.

The department’s Privacy Policy, including information about access to and correction of your personal information, can be found at:

To contact the department about your personal information or to make a complaint:

Telephone: Switchboard +6126272 3933
Email:
Post: Privacy Contact Officer, Department of Agriculture and Water Resources,
GPO Box 858,
Canberra ACT 2601.

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