Supplementary Form C: Non-Commercial - Exhibition
This form should be completed if you ticked
the ‘Non-commercial - Exhibition’ box in
answer to the purpose of export/ import
question in the Permit Application form. If so,
please complete this form and return it, along
with the Permit Application form, to the
Department of Sustainability, Environment,
Water, Population and Communities.
2. Have you previously received an
import/export permit under Part 13A of the
Environment Protection and Biodiversity
Conservation Act 1999 for the same taxon
and the same exhibition project?
Information on the requirements for approval
of permits for the purpose of non-commercial
exhibition is available at
http://www.environment.gov.au/biodiversity/wil
dlife-trade/sources/non-commercial/index.html
No
►
Yes
►
Go to next question
Include previous import/export
permit numbers below and attach
any changes to the exhibition
presentation content since the
issue of the last permit.
Applications that are incomplete or contain
insufficient information cannot be assessed.
Delays will occur whilst further information is
sought from the applicant.
If there is insufficient space on this form to
fully address any of the questions please
attach additional pages.
Go to question 5
3. Does the exhibition, for which the
specimens are required, present information
with a cultural, scientific or conservation
content?
1. Title of exhibition project
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No
►
Yes
►
Approval of your application will
not be possible under the exhibition
provisions of the Act. Please refer
to
http://www.environment.gov.au/bio
diversity/wildlife-trade/sources/noncommercial/index.html
to determine if you can apply under
the other provisions of the Act.
Attach information on the content
presented by the exhibition and Go
to next question
6. Does the specimen come from a captive
animal or an artificially propagated plant?
4. Is the specimen required for the exhibition a
The regulations state that if possible, the
specimen comes from a captive animal or
artificially propagated plant.
live animal of a species listed on CITES
Appendix I?
The list of CITES specimens is available at:
http://www.environment.gov.au/biodiversit
y/wildlife-trade/cites/index.html
No
Yes
►
►
No
►
Yes
►
Go to next question
Approval of your application
will not be possible under the
exhibition provisions of the
Act. Please refer to
http://www.environment.gov.a
u/biodiversity/wildlifetrade/sources/noncommercial/index.html
to determine if you can apply
under the other provisions of
the Act.
Please provide rationale for
not using a captive
animal(s) or artificially
propagated plant(s) (use a
separate page if necessary)
and go to next question.
Go to next question
7. Is the specimen from a species listed as
threatened (excluding the Conservation
Dependant category) under section 178 of
the EPBC Act?
5. Is the specimen needed for conservation
breeding or propagation by the exporting
country?
No
►
The list of EPBC threatened species is at:
http://www.environment.gov.au/biodive
rsity/threatened/
If the specimen is a live animal
(including viable reproductive
material), include a statement
on how it was determined that
the exporting country does not
require the specimens (if
necessary on a separate page).
For example, relevant census or
plan prepared by a regional
zoological association does not
list any institution in the
exporting country as desiring the
species for conservation
breeding.
►
Approval of your
application will not be
possible. (The regulations
require that specimen is not
needed for conservation
breeding or propagation by
the exporting country.)
►
Go to question 9
Yes
►
Go to question 8
8. Has a recovery plan been prepared for this
species? A list of recovery plans is at:
http://www.environment.gov.au/biodive
rsity/threatened/recovery.html
Go to next question
Yes
No
2 of 3
No
►
Go to question 9
Yes
►
Provide evidence that the
export is not inconsistent
with any recovery plan and
Go to question 9
9. Is the application for the export of a live
koala, platypus, wombat, Tasmanian devil
or a species listed as threatened
(excluding the Conservation Dependent
category) under section 178 of the Act.
No
►
Yes
►
12. Attach copies of any other approvals or
permits relating to the specimens
Include (where appropriate):
Ethics committee approvals
State/Territory holding, collection, import
and export permits
CITES permits
Go to question 12
The exporter, importer and
the Department must enter
into an agreement
(Ambassador Agreement)
about the treatment and
disposal of the animal and
any progeny of the animal.
Go to next question
13. Declaration
I declare that during and after the
exhibition, I/my organisation will not allow
the specimen, or progeny or products of
the specimen, to be used for commercial
purposes.
Name of recipient or authorised person
(if recipient is an organisation)
10. Is there currently in place an Ambassador
Agreement between the exporting and
importing institutions and the Department
relating to the species involved in the
exhibition?
No
►
Yes
►
Go to next question
Position within organisation (if applicable)
Include date agreement came
into effect (signed by the
Department) and go to
question 12
Organisation (if applicable)
11. Are the exporting and importing
institutions prepared to enter into an
Ambassador Agreement with each other
and the Department for the species to be
exhibited?
No
►
Yes
►
Signature of recipient or authorised
person
The issue of a permit will
not be possible
Applicant should contact the
Department, to get a copy
of the standard Ambassador
Agreement. The application
can be submitted to the
Department prior to the
agreement being signed,
but a permit cannot be
issued until all Parties have
signed the Ambassador
Agreement.
Date signed
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