Part Form 2—Application for review - Fisheries Management Regulations 1992 - Form 2—Application for review

Form 2—Application for review

File No.

For Office Use Only

COMMONWEALTH OF AUSTRALIA

Fisheries Management Act 1991

APPLICATION FOR REVIEW OF DECISION TO GRANT A FISHING RIGHT

To: The Registrar of the Statutory Fishing Rights Allocation Review Panel

C/‑ General Manager

Fisheries and Aquaculture

Department of Agriculture, Fisheries and Forestry

GPO Box 858

Canberra ACT 2601

I apply under subsection 143(1) of the Fisheries Management Act 1991 for review by the Panel of a decision.

My name is:

My address is:

My postal address is:

The decision that I want reviewed is:	The following decision dated ………….…… of the Australian Fisheries Management Authority or Joint Authority as the case may be (state which authority):

The name of the person who made the decision is:

The office or title of that person is:

The reasons for my application are:	(If insufficient space, please attach and sign additional page/s as necessary.)

(Signature of applicant)

(Date)