Fee - Please see
page 2
CHARTER BOAT FISHERY
GST Exempt
01/07/15 -30/06/16
Processing time:
5 business days
Fisheries Management Act 2007
Fisheries Management (Charter Boat Fishery) Regulations 2005
APPLICATION TO VARY A BOAT REGISTRATION
With this completed application:
(Please tick when complete)
 Enclosed payment in accordance with fee schedule on page 2 of this form
 Enclosed a copy of the current certificate of operation
 Enclosed a copy of public liability insurance (only when adding a boat)
All applications must be completed in full before being lodged with PIRSA Fisheries &
Aquaculture. Applications that are not complete, or that do not have correct documentation
attached, will be returned. Please contact PIRSA Fisheries & Aquaculture on (08) 8204 1370 if
you have any queries. Licence Holder MUST initial each page (bottom right corner).
PART 1 – APPLICANT DETAILS
Licence number: ..........................................................................................................
Name of licence holder: ...............................................................................................
PART 2 – BOAT to be REMOVED
Boat 1
Boat 2
Name: ……………………………………..
Name: ……………………………………….
Length: ……………………………………..
Length: ……………………………………...
Survey Number: …………………………..
Survey Number: ……………………………
Boat 3
Name: ………………………………………
Boat 4
Name: ……………………………………….
Length: ……………………………………..
Length: ………………………………………
Survey Number: …………………………..
Survey Number: ……………………………
Boat 5
Name: ………………………………………
Length: ……………………………………..
Survey Number: …………………………..
PIRSA FISHERIES & AQUACULTURE
Level 14, 25 Grenfell Street, Adelaide SA 5000
GPO Box 1625, Adelaide SA 5001
Telephone (08) 8204 1370 Facsimile (08) 8204 1388
Email PIRSA.FisheriesLicensing@sa.gov.au
http://www.pir.sa.gov.au/fisheries/home
FISHERIES & AQUACULTURE - Updated November 2015
Page 1 of 4
Licence Holder Initials:
PART 3 – BOAT to be ADDED
Boat 1
Boat 2
Name: ……………………………………….
Name: ………………………………………
Length: ………………………………………
Length: ……………………………………..
Main Colour: ………………………………..
Main Colour: ……………………………….
Home Port: ………………………………….
Home Port: …………………………………
Hull Construction: ………………………….
Hull Construction: …………………………
Survey Number: ……………………………
Survey Number: …………………………...
Unberthed Passengers: …………………..
Unberthed Passengers: …………………..
Boat 3
Boat 4
Name: ………………………………………
Name: ………………………………………
Length: ……………………………………..
Length: ……………………………………..
Main Colour: ……………………………….
Main Colour: ……………………………….
Home Port: ………………………………...
Home Port: …………………………………
Hull Construction: …………………………
Hull Construction: ………………………….
Survey Number: ……………………………
Survey Number: ……………………………
Unberthed Passengers: …………………..
Unberthed Passengers: …………………..
Boat 5
Name: ………………………………………
Length: ……………………………………..
Main Colour: ……………………………….
Home Port: …………………………………
Hull Construction: ………………………….
Survey Number: …………………………...
Unberthed Passengers: …………………..
A copy of a current certificate of operation for each boat must be
attached to this application.
(For further information on survey requirements please contact Department of Planning,
Transport and Infrastructure)
FISHERIES & AQUACULTURE - Updated November 2015
Page 2 of 4
Licence Holder Initials:
PART 4 – FEES
A boat fee will be applied to your licence as follows:
If the licence is endorsed by licence condition to use only one boat at a time, the
fee applicable will be for the highest passenger survey class.
If the licence is endorsed by licence condition to use more than one boat at the
same time, fees will be applicable for each of those endorsed boats.
For the 2015/2016 licensing year, these fees are:



For a boat surveyed to carry up to 6 unberthed passengers, $637.90
For a boat surveyed to carry between 7 and 12 unberthed passengers, $1,276
For a boat surveyed to carry more than 12 unberthed passengers, $2,552
NOTE:
 If you are removing and adding a boat of the same survey class, the fee is $112
 If you are removing a boat and adding a boat of a higher survey class only the
difference in the fee is payable.
PUBLIC LIABILITY INSURANCE INFOMATION
Regulation 7 (5) of the Fisheries Management (Charter Boat Fishery) Regulations 2005
requires all Charter boat licences with a boat endorsed on it to have current public liability
insurance to an amount of at least $10,000,000.
You will be required to provide a certificate of currency whenever your policy is renewed.
Is evidence of current public liability included with this application:
FISHERIES & AQUACULTURE - Updated November 2015
Page 3 of 4
Yes/No
Licence Holder Initials:
PART 6 – DECLARATION
I declare this boat complies with the requirements under the Harbours and Navigation
Act 1993.
I ..........................................................................
(Natural Person/ Director)
(Full name of person completing this form)
of (address) ...................................................................................................................
Contact Telephone Number: ....................................
who is the licence holder of Charter Boat Fishery Licence number .........………...
hereby certify that this application is to the best of my knowledge and belief true and
accurate. I know that this information is to be used for the purpose of the
administration of the Fisheries Management Act 2007 and if it is false or misleading in
a material particular (whether by reason of inclusion or omission of any particular) I
may be guilty of an offence.
Dated the ................ of ............................................. ,20 .........………........
Signed: .....................................................................
Witnessed by: ...........................................................
(Full Name)
of ............................................................................. .
(address)
Signature of Witness: .................................................
FISHERIES & AQUACULTURE - Updated November 2015
Page 4 of 4
Licence Holder Initials: