AVIATION SECURITY IDENTIFICATION
CARD (ASIC)
APPLICANTS INFORMATION (to be completed by applicant – please use BLOCK CAPITALS only)
Given Names:
Surname:
Company:
PLEASE NOTE:



ENQUIRIES & APPOINTMENTS
APPLICATIONS MUST BE SUBMITTED AT LEAST 6 WEEKS PRIOR TO
REQUIRING AN ASIC
THE APPLICANT MUST SUBMIT THE APPLICATION IN PERSON BY
APPOINTMENT
ALL APPLICANTS MUST PROVIDE ORGINAL ID DOCUMENTS AND/OR
CERTIFIED COPIES AT TIME OF LODGEMENT
HOBART INTERNATIONAL AIRPORT PTY LTD
BOX 1 Strachan St
Cambridge TAS 7170
P 6216 1600
E info@hiapl.com.au
W www.hiapl.com.au/asic
HIAPL OFFICE USE ONLY
ASIC No
☐
☐
New
Application Rec:
ASIC Issued:
H
….. / .…. / …..
….. / ….. / …..
ASIC Expiry: ……..….……. / ………......
Card Validity
Card Type
Card Colour (Security Area)
Gate access capability
Airside driving area limit
Emergency Response Staff
B
Renewal
☐
☐
Replacement
Temporary
AUSCHECK Sent:
….. / .…. / …..
DIAC Sent:
….. / .…. / …..
AUSCHECK Rec:
.…. / ….. / …..
DIAC Rec:
….. / .…. / …..
AUSCHECK number: …………..……..
☐ HBA
☐ Permanent
☐ Red
☐ In ASIC
☐0
☐ AFP
☐ AUS
☐ Temporary
☐ Grey
☐ Separate
☐2
☐ HIAPL
Photo number: ……….…………..
☐ Replacement
☐ Not Applicable
☐4
☐ No Applicable
Comments:
Version 1.1
HIAPL ASIC Application Form
Page 1 of 10
Conditions of Use
Prior to HIAPL allowing a person with an operational need to be issued an ASIC, the applicant must agree to comply with
the following conditions.

The Card is issued subject to the Aviation Transport Security Regulations 2005 and to the Hobart International Airport
Pty Ltd ASIC Program, approved under the Regulations.

The Card is to be properly displayed, on the outer clothing at or above waist height on the front of the body and with
the front face of the Card clearly visible when entering, remaining on, or leaving the relevant Security Restricted Area.

The Card may only be used in the course of the holder’s approved duties in the relevant Security Restricted Area. It
does not constitute an authority to enter or remain in the Area for any other purpose.

The Card must be presented for inspection on demand by a HIAPL employee or an Authorised Person.

The holder of a Card, the holder’s belongings, and the holder’s vehicle may be subject to a search by a HIAPL
employee or an Authorised Person before entering, while within or when leaving a Security Restricted Area or an
Enhanced Inspection Area.

The Card remains the property of Hobart International Airport Pty Ltd at all times.

A Card is issued on a personal basis and cannot be transferred to any other person.

The Card must not be altered or defaced in any way.

Loss of the Card is to be reported immediately to Hobart International Airport Pty Ltd at (03) 6216 1600.

The Card is to be returned to Hobart International Airport Pty Ltd; on expiry; if no longer employed by the
sponsoring employer; if no longer has an operational need or on request of a HIAPL Manager.

The holder must return an expired card to HIAPL within seven days of the expiry date.

If there are any changes in circumstances to any part of this application, including the personal consent form, Hobart
International Airport Pty Ltd must be advised immediately in writing at info@hiapl.com.au.

Hobart International Airport Pty Ltd may alter the terms and conditions on which a Card is issued at any time.

The APPLICANT and their EMPLOYER are bound by the above conditions of use, and will be responsible for any
breaches of the conditions of use by the holder of the Card.

Charges apply for the application and production of an ASIC. See Part 4 for details on the applicable charges. All
charges are payable upon submission of application.
Definitions of terms can be found in the Aviation Transport Security Regulations 2005
I confirm that I viewed the presentation (IF required) and completed a test on its contents.
I accept and will abide by the conditions above.
Signature: ………………………………..……………..………………………..……
Version 1.1
HIAPL ASIC Application Form
Date: ………. /…..…. /………
Page 2 of 10
PART 1 – To be completed by the Applicant (Please use BLOCK CAPITALS only)
Section A – Personal Details
To be completed by ALL applicants
Surname:
Given Name/s:
Previous Name
(e.g. Maiden
Name):
Date of Birth:
Gender:
☐
Male
☐
Female
Place of Birth:
(e.g. Town &
State)
Country of
Citizenship
Section B – Contact Details
To be completed by ALL applicants
Residential
Address
Suburb:
State
Postcode:
Resident from
Date:
Note: You are required to provide your residential history for the past 10 years in Section C.
Postal Address (if
different from
above)
Suburb:
State
Postcode:
PO Box from
Date:
Phone Numbers:
Home:
Work:
Mobile
Email:
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HIAPL ASIC Application Form
Page 3 of 10
Section C – Address History
To be completed by ALL applicants – It is mandatory for all applicants to supply 10 years of residential Address history.
Address 1
Suburb:
State
Date From:
Postcode:
Date To:
Address 2:
Suburb:
State
Date From:
Postcode:
Date To:
Address 3:
Suburb:
State
Date From:
Postcode:
Date To:
Address 4:
Suburb:
State
Date From:
Postcode:
Date To:
Address 5:
Suburb:
State
Date From:
Postcode:
Date To:
Note: If you have more address details to add to this list please continue on a separate page and attach with your
application.
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HIAPL ASIC Application Form
Page 4 of 10
Section D – Non Citizen Details
To be completed by the applicant only if you are not a citizen of Australia or New Zealand
Please note, original or certified copies of your passport and visa documents must be supplied with your applications
Date of Arrival
into Australia:
Immigration Visa
Number
Visa Expiry Date
Passport
Number:
Arrival Details:
Arrival Port:
Airline Name & Flight
Number:
Vessel Name:
Parents Surname (If entry was on
parents passport):
Parents Given Names (If entry was
on parents passport)
Section E – Current ASIC Details
To be completed by ALL applicants
Do you hold a
current ASIC?
☐
No
ASIC Number
ASIC Type
☐
Yes
If Yes, complete below details
ASIC Expiry Date
☐
HBA
☐
AUS
Name of the
issuing body:
Category of
Airside Driving
Authority:
☐
Cat 0
☐
Cat 2
Emergency
Response
Staff?
☐
No
☐
Yes
☐
Cat 4
Section F – Acknowledgment
To be completed by ALL applicants
I, _____________________________________ understand that I am applying for a security identifications card for the
aviation industry. The information that I have provided in this application is correct to the best of my knowledge.
I understand that my personal information will be used by AusCheck to co-ordinate a background check through the
Australia Security Intelligence Organisation (ASIO), CrimTrac and the Department of Immigration and Citizenship (DIAC),
where necessary.
I have been given a copy of the AusCheck Privacy Notice, which explains how AusCheck will use my personal information.
Signature: ………………………………..……………..………………………..……
Version 1.1
HIAPL ASIC Application Form
Date: ………. /…..…. /………
Page 5 of 10
PART 2 – To be completed by the Employer (Please use BLOCK CAPITALS only)
Section A – Employer Details
To be completed by the employer
Company Name:
Department:
Applicants
Position
Authorised
Signatory Name
Employer Phone Number:
Work:
Mobile:
Employer Email
Employer Postal
Address
Suburb:
State
Postcode:
Section B – ASIC Required
To be completed by the employer – Please select the colour ASIC the applicant will require
☐
Red ASIC
Valid for airside security zones and secure areas of controlled airports
☐
Grey ASIC
Valid for landside secure areas, which are deemed to be areas within the sterile area of
the terminal, of security controlled airports
To be completed by the employer – Please select the type of ASIC that is required.
☐
HBA
Is specific for use at Hobart international Airport only
☐
AUS
Australia wide access
Note: Applications for ‘AUS’ ASICs must attach a supporting letter (on company letterhead) with this application, signed
by a company authorised signatory stating the name of all ports where access is required, the frequency of access and
the purpose of access.
Version 1.1
HIAPL ASIC Application Form
Page 6 of 10
Section C – Areas of access
To be completed by the employer – Please select the areas that the applicant will be required to access during their
duties. Note, a separate Electronic Access Card application form will need to be submitted to HIAPL prior to being
issued with access by HIAPL.
Aircraft Movement Areas
☐
RPT Apron
☐
Freight Apron
☐
Other Aircraft Parking Aprons
☐
Other Airside Areas
☐
Baggage Hall
☐
Departure Lounge
☐
ALER Building
☐
Air Traffic Control Tower
☐
Other
☐
Section D – Authority to Drive Airside
To be completed by the employer – All persons required to drive airside will require an Authority to Drive Airside
(ADA). Please select the category of ADA required. Note, this is not an ADA application. The applicant will be required
to submit a separate application for an ADA if required.
Does the applicant require an
ADA?
☐
No
☐
Yes
If Yes, Select below Category
☐
Category
2
Authority to drive on aprons and perimeter roads only.
☐
Category
4
Authority to drive on all airside areas
Note: An ADA test must be passed prior to HIAPL issuing the applicant with their license. The test is available at
www.hiapl.com.au/asic. Please see PART 3 of the application for details about the applicable charges
Section E – Operational Need
To be completed by the employer – Please provide a brief comment stating the reason the applicant requires an ASIC.
Version 1.1
HIAPL ASIC Application Form
Page 7 of 10
Section F – Employer Certification
To be completed by the employer
I, ________________________________________ of __________________________________________
confirm that the applicant and employer details are correct and request that an Aviation Security Identification Card (ASIC)
be issued to the applicant for the areas indicated in this application
I understand and agree to notify Hobart International Airport Pty Ltd (HIAPL) of any changes to the above particulars and to
recover and return the ASIC prior to the applicant leaving our employ or upon transfer to a position which no longer has an
operational need to retain the ASIC.
I understand that HIAPL is not liable for any loss or damage sustained by the company as a result of non-issue of ASICs, or as
a result of failure to honour the Conditions of Use for an ASIC and I agree to accept all applicable charges for the production
of an ASIC.
Signature: ………………………………..……………..………………………..……
Date: ………. /…..…. /………
PART 3 – Information for the Applicant & Employer
Section A – Personal Identification to be provided
To be provided by ALL applicants – Prior to being issued with an ASIC, HIAPL must be provided with adequate personal
identification. HIAPL must be provided with the originals or certified copies of the following:
One (1) form of identification from the following:
☐
☐
☐
A Certified Birth Certificate
A copy of a citizenship certificate
Current valid Australian or foreign passport
AND
One (1) form of photo identification from the following:
Current State or Territory Licence
Current Aviation Security Identification Card (ASIC)
Australian Government employee identification card
Australian student identification card
OR
☐
☐
☐
☐
One (1) form of identification from the FIRST list above plus two (2) from the following:
Signed statement by employer
Certified copy of Certificate of Title
Document issued by rating authority about land ownership or occupation
Extract from the electoral role
Foreign Drivers Licence
Identification requirements fulfilled
Version 1.1
HIAPL ASIC Application Form
☐
☐
☐
☐
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(Office Use)
Page 8 of 10
Section B – Charges
There are a number of charges involved with the background check and production of an ASIC. The below provides
details on the applicable charges
Initial Application:
Full ASIC
$215
Renewal
Application
Full ASIC
$200
Replacement:
ASIC
$60
Temporary:
ASIC
$45
Note:
All charges are inclusive of GST
An additional charge of $4.40 applies if a DIAC check is required
$130 Inc. GST of the initial application is non-refundable once the application has been submitted for a background
check
$110 Inc. GST of the renewal application is non-refundable once the application has been submitted for a background
check
The balance of the fee is non-refundable once the production of your ASIC has begun
PART 4 – To be Completed by the Applicant
Section A – Receipt of ASIC
To be completed by the applicant upon receiving a new ASIC
I acknowledge receipt of my ASIC which remains the property of Hobart international Airport Pty Ltd (HIAPL) and is on loan
to me whilst I am employed in my current capacity by the company noted in this application.
Signature: ………………………………..……………..………………………..……
Version 1.1
HIAPL ASIC Application Form
Date: ………. /…..…. /………
Page 9 of 10
PART 5 – HIAPL Office Use Only
Section A – Identification Acknowledgment
To be completed by HIAPL
I, _______________________________________________________ can confirm that I have received and verified
the applicant identification as displayed in Part 4, Section A.
Signature: ………………………………..……………..………………………..……
Date: ………. /…..…. /………
Section B – Operational Need
To be completed by a HIAPL ASIC Delegate
I, _________________________________________________________ have reviewed the information provided by
the applicant and employer in this application and can confirm that there is an operational need for the applicant to have an
ASIC for Hobart International Airport
Signature: ………………………………..……………..………………………..……
Date: ………. /…..…. /………
Section C – ASIC Return
To be completed by HIAPL – Please leave a note in the comments if a statutory declaration is submitted
ASIC Return
Required:
☐
No
☐
Yes
Date Returned
Section D – AusCheck Conditions
To be completed by a HIAPL ASIC Delegate – Note HIAPL will receive the results of the background check from
AusCheck. These results shall be attached with this application and the appropriate box shall be selected below.
☐
A
Application is clear. ASIC may be issued for two years
☐
C
Application is not clear. ASIC may be issued with conditions.
☐
N
Application is not Clear. ASIC and/or VIC must NOT be issued to the applicant
Section E – ASIC Issuing
To be completed by HIAPL ASIC Delegate
I ____________________________________________ have reviewed the details displayed on the ASIC and
confirm that they are correct. HIAPL requirements for an operational need have been met and the results of the
background check conducted by AusCheck have authorised the issuing of an ASIC to the applicant. I hereby authorise the
applicant to be issued with an ASIC by Hobart International Airport.
Signature: ………………………………..……………..………………………..……
Version 1.1
HIAPL ASIC Application Form
Date: ………. /…..…. /………
Page 10 of 10