Application for a licence to make repair or sell net
NORTHERN TERRITORY FISHERIES ACT
Part 11 Division 5 – Fisheries Regulation)
Incomplete applications cannot be processed. If you have any queries please contact Licensing Section on 08 89992183
APPLICATION BY AN INDIVIDUAL/PARTNERSHIPBusiness Trading Name:......
Surname(s): ......
Other names: ......
Date of birth:...... Male/Female
Residential address:......
Postal address: ......
Phone No:...... Fax No:......
______
Signature of applicantDate / APPLICATION BY A COMPANY
Company name:......
A.C.N. No:......
Trading name:......
Postal address:......
Public Officer’s surname:......
Other names:......
Date of birth:...... Male/Female
Residential address: ......
Postal address:......
Phone No:...... Fax No:......
______
Signature of Public OfficerDate
TRADING OUTLET NO. 1
Name of outlet:......
Street address:......
Phone No:...... Fax No......
Appointee’s surname:......
Other names:......
Date of birth:...... Male/Female
Residential address:......
Postal address:......
______
Signature of appointeeDate / TRADING OUTLET NO. 2
Name of outlet:......
Street address:......
Phone No:...... Fax No:......
Appointee’s surname:......
Other names:......
Date of birth:...... Male/Female
Residential address:......
Postal address:......
______
Signature of appointeeDate
OFFICE USE ONLY
This application is: APPROVED/NOT APPROVED
______Licence Number D4/______
Director of Fisheries or Delegate Date
Net licence (to make, repair or sell net)
In accordance with the NT Fisheries Act a person shall not sell net, make or repair net or be in possession of net material from which fishing nets may be, but have not been made, unless he or she holds a Net licence.
As the submitted form is a legal document all details on the form must be provided.
Incomplete applications will not be processed.
You are required to:
- Correctly complete and sign the application.
- Proof if identity of the applicant.
- Individual person – photographic identification eg drivers licence or passport
- Company or Corporation – copy of Certificate of incorporation provided by Australian Security and Investment Commission.
- NT Water Police Section will contact the applicant to arrange a suitable time to inspect the premises where the nets are to be made, repaired or stored.
Please ensure that any of the above items that are applicable to your application are supplied with the application. Incomplete applications will not be processed and will be returned to you.
For any queries please contact the Fisheries Licensing Office. (08) 8999 2183
Declaration
Under Section 35 of the Northern Territory Fisheries Act making false or misleading statements in applications is an offence
Changes to legislation
Please note that the Fisheries Act, regulations and management plans are amended from time to time. Current versions of these documents are available on the Internet and may be viewed at nt.gov.au.
Office Address: / Postal Address-Fisheries LicensingGoffLettsBuilding / Tel: 08 89992183 / Department of Primary Industry
Berrimah Farm / Fax: 08 89992057 / and Resources
Makagon Road / Email: / GPO Box 3000
BERRIMAH / / DARWIN NT 0801
Privacy Statement: Details in this application will be recorded in a Fisheries Register and certain personal details may be released but, will only be done so in accordance with S9 of the Fisheries Act.
Department ofprimary industry and RESOURCES
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