Acquire or Dispose of Animals of Prescribed Species

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Exhibited Animals Protection Regulation 2010 Clause 31
FORM F: APPLICATION TO ACQUIRE OR DISPOSE OF ANIMALS OF PRESCRIBED SPECIES
Use this form to apply for approval to acquire or dispose of exhibited animals of
Prescribed Species. Prescribed species are listed in Schedule 2 of the Exhibited
Animals Protection Regulation 2010.
Name
It should be completed by either a) an exhibitor proposing to receive animals
or b) an exhibitor seeking to dispose of animals interstate or to persons not
authorised under the Exhibited Animals Protection Act 1986.
Licence or
Approval No.
Full Street Address including Postcode
Permit No.
Sender
Receiver
ANIMALS
Common Name
No. of Animals
Scientific Name
Male
Signed:
Position:
Name:
Date:
Trading Name:
If approved:
Fem
Unkn. Total
FOR OFFICE USE ONLY
Trans. No.*
Approved/Refused | Date
Signed for Director-General
Conditions of Approval / Grounds for Refusal
* Record the transaction number in the Animal Record Book when the animal
transaction takes place.
Please note that approval is valid for 60 days only from the approved date.
Fax the completed form to: 02 6391 3740
A copy of this form will be returned to the applicant when a decision has been
made.
For more information, contact the Animal Welfare Unit on 02 6391 3276.
Privacy: The information collected in this form will be stored securely and
used only for the purposes for which is has been collected. See our full
privacy policy at http://www.industry.nsw.gov.au/legal/privacy
INT12/9367
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