Application for a Multiple Consignment Authority to import, export or re-export wildlife or wildlife
products under Part 13A of the Environment Protection and Biodiversity Conservation Act 1999
Conservation Act 1999
Important notes
 There are severe penalties for knowingly making false or misleading statements in this application.
 Many transactions relating to wildlife and wildlife products may require clearance from Department of Agriculture, Fisheries
and Forestry (DAFF)) and the Australian Customs and Border Protection Service (Customs). Please contact DAFF and
Customs in your State or Territory for information on quarantine and Customs controls.
 The Legislation stipulates applications, with all completed information, must be processed within 40 business days of receipt.
 Applications that are incomplete or contain insufficient information cannot be processed. Delays will occur whilst further
information is sought from the applicant.
 If you need help in completing the application, please phone, fax or email the Wildlife Trade Regulation Section on the details
shown below.
 If an Authority is required, do not attempt to export/import without first obtaining your Authority otherwise your specimens may
be seized.



Import Multiple Consignment Authority: For items that are being imported from Overseas.
In order to apply for a Multiple Consignment Authority for import you will be required to submit copies of the Convention on
International Trade in Endangered Species of Wild Fauna and Flora (CITES) export permits from the country of origin for each and
every specimen you wish to import over the permitted period.
Export Multiple Consignment Authority: For items that have been sourced legally from within Australia
In order to apply for a Multiple Consignment Authority for Export you will need to provide documentation as evidence that the
specimens you wish to export have been legally obtained from an approved source.
Re-export Multiple Consignment Authority: For items that have previously been imported into Australia.
In order to apply for a Multiple Consignment Authority for Re-export you will need to provide the Australian Import Permit for every
specimen you wish to export over the permitted period and the export/re-export permits from the relevant overseas CITES
Management Authority for all consignments that were imported under the corresponding import permits.
For people applying to renew an expiring Multiple Consignment Authority
 Any unused Specimen Export Record (SER) forms for export or re-export may be kept when renewing an Authority. When
you apply you will need to specify the SER numbers that you would like transferred to the new Authority.

Fee payable
For information on application fees please see: http://www.environment.gov.au/biodiversity/wildlife-trade/permits/fees.html.
Payments may be made by credit card, cheque or money order. Please make cheques/money orders payable to ‘Collector of
Public Monies’.
Lodging the application
 This application, and supporting documents, may be faxed or emailed using the details below in order to facilitate the
processing of the application, but an Authority will not be issued until the application fee has been received.
 Please note that if you are paying by credit card, a faxed copy of your application and supporting documentation will be
sufficient.


Supporting Documentation
Please ensure that, where applicable, you attach copies of:
Overseas CITES permits for each specimen you wish to ship under a Multiple Consignment Authority for Import or Re-export.
 Proof of legal acquisition of the specimen (e.g. state collection permit).
 Any relevant documents referred to in Question 22.
 You will also need to complete an extra subject-specific attachment if instructed to do so in Questions 15 and 19.
 You may be audited so please keep copies/records to verify sources of specimens.
Postal Address:
The Director
Wildlife Trade Regulation Section
Department of Sustainability, Environment,
Water, Population and Communities
GPO Box 787
CANBERRA ACT 2601
Fax: (02) 6274 1921
Telephone: (02) 6274 1900
Email: wildlifetrade@environment.gov.au
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Important Specimen Export/Import Records:

Do you have existing stocks of Specimen Export Record forms to be transferred to this Authority?
If so, please list type (Native or CITES) and form numbers (attach list if necessary) ______________________________
Do you require further stocks of Specimen Export/Import Record forms? If so please indicate how many shipments you
intend to make under this authority and whether you need native or CITES SERs): _____________________________
Please complete if applicable:
Are you applying for ‘personal baggage’ permits for use for manufactured products being exported as personal
accompanied baggage? If so, how many do you require? _______________________________________
For information on the fee please see: http://www.environment.gov.au/biodiversity/wildlife-trade/permits/fees.html.
Credit card Details (if paying fee by credit card):
Card number:
Card holder name: (Print full name)
Card
name:
(Print fullorname)
Card:holder
either Visa,
Bankcard
Mastercard
Expiry date: month/year e.g. 12/2013
Amount $
Cardholder signature:
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Australian Address
Permit Details
COMPLETE FOR ALL PERMITS
Multiple Consignment Authority Export: For
items that have been sourced legally from within
Australia.
Multiple Consignment Authority Re-export:
For items that have previously been exported
from Australia or another country.
Multiple Consignment Authority Import: For
items that are being imported from Overseas.
5. Name
Mr, Ms, Mrs, etc
First (given) name
Family name (surname)
1. Which of the following applies to this application?
6. Organisation name (if applicable)
TICK ONE ONLY
(Unless applying for both the import and export of a
travelling exhibition item)
Registered name and ABN
EXPORT of wildlife/wildlife products to another
country
Trading name (if different to above)
RE-EXPORT of wildlife/wildlife products to
another country
IMPORT of wildlife/wildlife products into
Australia
Position within organisation (if applicable)
2. What do you require a Multiple Consignment
Authority for?
7. Street address
NATIVE Specimen
Address
CITES Specimen
NB: If you wish to apply for both NATIVE and
CITES specimens you will need to complete
separate application forms for CITES and NATIVE
specimens.
Town/Suburb
State
Postcode
8. Postal address
3. How long do you require the Authority for?
If same as street address, tick here
CITES import – list the latest expiry date of CITES
permits relating to the specimens you intend to
ship under this authority – Maximum 6 months
Address
Town/Suburb
CITES export or re-export – Maximum 6 months
State
Postcode
9. Contact details (include area code)
NATIVE – Maximum of 3 years
Telephone number – work
Please ensure you have provided sufficient funds
for the number and types of Authorities required.
Telephone number - home / mobile
4. Have you previously been issued with a permit
Fax number (include area code)
or Authority to export or import wildlife or
wildlife products?
No
Go to next question
Email
Yes
Number of last permit issued:
Permit
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Overseas Address
15.What is the purpose of the import or export?
ONLY COMPLETE FOR A MULTIPLE
CONSIGNMENT AUTHORITY WHERE THE
APPLICANT IS FROM OVERSEAS OR IF ALL
SHIPMENTS WILL BE GOING TO THE SAME
ADDRESS
10.Name
Commercial purpose
Go to next
question
Non-commercial purposes:
Select relevant
reason below
See “Guide to the Import and Export of Wildlife
Specimens for Non-commercial Purposes” at
www.environment.gov.au/biodiversity/tradeuse/publications/noncommercialguide/index.html
Mr, Ms, Mrs, etc First (given) Name
Family name (surname)
Research
(Supplementary Form A)
11.Organisation name (if applicable)
Education
(Supplementary Form B)
Registered name
Exhibition
(Supplementary Form C)
Position within organisation (if applicable)
Conservation breeding or
propagation
(Supplementary Form D)
12.Street address
Address
Complete
relevant
supplementary
form and
Go to next
question
Travelling exhibition
(Supplementary Form F)
Town/Suburb
State
Postcode
Personal item(s) that will not be
traded (Cannot be a live plant or animal)
Go to 21
Testing (as part of an assessment of a
proposed live import list amendment)
Go to 19
Country
13.Postal address
If same as Street address, tick here
Address
16.Are you applying to import or export a live
animal (including viable reproductive material)?
Town/Suburb
State
Postcode
No
Go to 21
Yes
Go to next question
Country
17.Is it an import?
14.Contact details (include country and area codes)
Telephone number - work
Country code Area code and number
Telephone number - home / mobile
Country code Area code and number
Fax number (include country and area codes)
Email
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No
Go to 19
Yes
Go to next question
18.Is the species to be imported included on
Specimen Identification
the “List of Specimens Suitable for Live
Import”? The list is available at
www.environment.gov.au/biodiversity/tra
de-use/lists/index.html
Please provide details at question 21 (next page) of
the specimens you are applying for. The following
notes are provided to assist with the completion of
question 21.
A live specimen cannot be imported into
Australia unless it is included on the “List of
Specimens Suitable for Live Import”
No
Yes
1) Source Codes
A permit cannot be issued, but you
may apply to have the list amended.
Information on amending the list is at
www.environment.gov.au/biodiversi
ty/trade-use/lists/import/index.html
2) Name of Commercial Wildlife Program
A Multiple Consignment Authority for commercial
exports can usually only be issued for specimens
derived from an approved wildlife program (such as a
Captive Breeding Program, Artificial Propagation
Program, Aquaculture Program, Wildlife Trade
Operation or Wildlife Trade Management Plan).
export/import of a live animal belonging to the
class Mammalia (mammals), Amphibia
(amphibians), Reptilia (reptiles) or Aves
(birds)?
Yes
Go to next question
Complete ‘Supplementary Form G:
Live Animal Imports/Exports’, unless
completing ‘Supplementary Form E:
Non-commercial Household Pet’ and
Go to next question
In this form, please provide the specific name of the
program from which your specimens were derived; for
example, the NSW Kangaroo Management Program,
Insect Harvesting and Export Program (Mr X), TAS
Tree Fern Management Program.
20.Are you applying to import a live plant
(including viable reproductive material)?
Yes
A Multiple Consignment Authority for commercial
imports of species listed under CITES Appendix II
may be issued for wild taken or ranched specimens
unless it is a “declared specimen”. Declared
specimens require an approved Commercial Import
Program. The Declared specimens list is available at
http://www.environment.gov.au/biodiversity/tradeuse/sources/declared-specimens.html
A Multiple Consignment Authority for specimens
derived from an animal bred in captivity or a plant that
was artificially propagated may also be issued.
Note: An Authority cannot be issued for a live
native mammal, amphibian, reptile or bird if it
is for commercial purposes.
No
W
C
F
A
R
AQ
O
U
Go to next question
19.Does your application relate to the
No
Wild
Captive bred
Captive born
Artificially propagated
Ranched
Aquacultured
Other (please explain)
Unknown (must be justified)
Go to next question
The introduction of the specimen
must be in accordance with the
Quarantine Act 1908. Information
on the Act is at
http://www.aqis.gov.au/icon32/a
sp/homecontent.asp
3) Place of origin
For Australian native species, or a non-native species
sourced in Australia, name the State or Territory
where taken or grown. For non-native species
sourced outside Australia, name the country from
which the specimens were originally taken.
4) Year in which the specimens were taken or bred
Show the year when the animals/plants were taken
from the wild; or the year that the specimens were
captive bred or artificially propagated.
5) Reference Publication
Only complete for species that are not commonly in
trade and if you have not applied for an Authority or
permit for it before. Refer to a publication where the
species is named and described.
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21. Specimen details to be included on Multiple Consignment Authority.
Refer to notes on previous page before entering details.
If you have more than 3 different specimens, you will need to photocopy the page before entering the details.
Scientific name - PLEASE PRINT
(for example: MACROPUS RUFUS)
Common name
(for example: Red Kangaroo)
Specimen description
(for example: live animal; live plant; meat; shells; hunting trophy)
Source Code (see note 1)
Place of origin (See note 3)
If commercial: name of the program(s) from which specimen was sourced
(see note 2)
Year (See note 4)
Reference Publication (only complete if species is not
commonly in trade) (see note 5)
Scientific name - PLEASE PRINT
(for example: MACROPUS RUFUS)
Common name
(for example: Red Kangaroo)
Specimen description
(for example: live animal; live plant; meat; shells; hunting trophy)
Source Code (see note 1)
Place of origin (See note 3)
Year (See note 4)
Reference Publication (only complete if species is not
commonly in trade) (see note 5)
Common name
(for example: Red Kangaroo)
Specimen description
(for example: live animal; live plant; meat; shells; hunting trophy)
Place of origin (See note 3)
Quantity and unit
(eg Number, kg etc)
If commercial: name of the program(s) from which specimen was sourced
(see note 2)
Scientific name - PLEASE PRINT
(for example: MACROPUS RUFUS)
Source Code (see note 1)
Quantity and unit
(eg Number, kg etc)
Quantity and unit
(eg Number, kg etc)
If commercial: name of the program(s) from which specimen was sourced
(see note 2)
Year (See note 4)
Reference Publication (only complete if species is not
commonly in trade) (see note 5)
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22.Attach copies of any other approvals,
24.Is a courier service required for delivery of
Authorities or permits relating to the import
or export of the specimens.
your Authority(s)?
Include (where appropriate):
State/Territory holding, collection, import
and export permits, CITES permits
No
Go to next question
Yes
Enclose a pre-paid courier bag
23.Do you wish to nominate an agent to act on
OFFENCE DECLARATION
your behalf? If you answer yes, the Multiple
Consignment Authority will be sent to your
agent.
To answer this question, please answer ‘Yes’ or
‘No’ in the section provided
No
Go to next question
Yes
Provide agent details and
authorisation below.
Note that the applicant retains
responsibility for the application and that
the applicant (not agent) must sign the
declaration at question 29 and on any
relevant supplementary forms.
Name of agent
Address of agent
Telephone number of agent
(
)
Signature of agent
25.Has the applicant been convicted of, or is
the applicant subject to proceedings for:
Yes / No
(a) offences under the Environment
Protection and Biodiversity
Conservation Act 1999 or
Regulations;
(b) offences under any law of the
Commonwealth about the protection,
conservation or management of native
species or ecological communities;
(c) offences under section 6 of the
Crimes Act 1914 in relation to an
offence referred to in paragraph (a) or
(b)1;
(d) offences under a law of a State or
Territory about the protection,
conservation or management of native
species or ecological communities;
(e) offences in relation to a law referred to
in paragraph (d), under a provision of
a law of a State or Territory that is
equivalent to provision mentioned in
paragraph (c), or to section 11.1, 11.4
or 11.5 of the Criminal Code 2,3.
Note 1. Section 6 of the Crimes Act 1914 relates to
accessories to an offence,
Note 2. Section 11.1 of the Criminal Code relates to
attempt; section 11.4 of the Code relates to incitement
to commit an offence; and section 11.5 to conspiracy
to commit an offence.
Under section 11.6 of the Code, a reference in a law of
the Commonwealth to an offence includes the
offences created by sections 11.1, 11.4 and 11.5. For
offences of complicity and common purpose, and the
commission of an offence by means of an innocent
agency, see sections 11.2, and 11.3 of the Code.
Date signed
I further state that I have provided the abovenamed agent with the particulars of the
transaction and that the information provided by
me is true and correct in every detail.
Note 3 The provisions of Part V11C of the Crimes Act
1914 includes provisions that, in certain
circumstances, relieve persons from the requirement
to disclose spent convictions and require persons
aware of such convictions to disregard them.
Name of applicant (or Authorised person
if applicant is an organisation)
If the answer to any of the above parts of question 27
is ‘Yes’, please provide details of the offence, date,
penalty imposed
Signature of applicant or Authorised person
Date signed
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27.Declaration
26.Please check the following before signing the
declaration:
I declare that:
If you are paying by credit card, you
have completed the payment details on
page 2; otherwise the fee is enclosed.
You have attached all relevant permits
and consents that indicate compliance
with other Commonwealth, State and
Territory requirements related to the
proposed export or import.

the particulars provided by me in this
application are true and correct in every
detail; and

in the case of live animals and plants, that
they will be prepared and shipped in
accordance with the current edition of the:
“IATA (International Air Transport
Association) Live Animals regulations” in the
case of live animals to be transported by air;
or “CITES (Convention on International
Trade in Endangered Species of Wild Fauna
and Flora) guidelines for transport and
preparation for shipment of live wild animals
and plants” in all other cases; and

in the case where the specimen is for
personal use it will not be used for
commercial purpose including sale, lease,
hire or exchange and shall remain as my
personal property; and

all Commonwealth and State/Territory
requirements in relation to the specimen(s)
have been/ will be met (question 24 refers).
You have attached all relevant permits
and consents from the governments of
other countries that entitle you to import
or export wildlife across their respective
borders.
You have attached any relevant
documents listed on Page 1.
You have attached all supplementary
forms as requested in questions 18 and
22, and any relevant documents listed
on those supplementary forms.
Names of supplementary forms:
Supplementary Form A - Research
Supplementary Form B - Education
Supplementary Form C - Exhibition
Supplementary Form D - Conservation
Breeding or Propagation
Supplementary Form E - Household Pet
Supplementary Form F - Travelling
Exhibition
Supplementary Form G - Live Animal
Imports/Exports
Please Note:
GIVING FALSE OR MISLEADING
INFORMATION IS A SERIOUS
OFFENCE
(Criminal Code – Division 137)
Name of applicant (or authorised person
if applicant is an organisation)
Signature of applicant or authorised person
Date signed
Information provided in this application form
may be exchanged with other
Commonwealth and State agencies for the
purposes of administering the EPBC Act
and relevant State legislation.
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