Schedule WILDLIFE PROTECTION STATEMENT - Wildlife Protection (Regulation of Exports and Imports) Regulations 1984 - WILDLIFE PROTECTION STATEMENT

WILDLIFE PROTECTION STATEMENTWILDLIFE PROTECTION STATEMENT

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WILDLIFE PROTECTION STATEMENT

<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td colspan="2" style="width:356.1pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; font-size:11pt"><span>WARNING</span></p></td></tr><tr><td style="width:15.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; font-size:11pt"><span style="font-family:'Courier New', monospace"></span></p></td><td style="width:329.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; font-size:11pt"><span style="font-style:italic">Please read carefully and complete the whole statement</span></p></td></tr><tr><td style="width:15.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; font-size:11pt"><span style="font-family:'Courier New', monospace"></span></p></td><td style="width:329.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; font-size:11pt"><span style="font-style:italic">If you do not understand any question, do not sign the statement</span></p></td></tr><tr><td style="width:15.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; font-size:11pt"><span style="font-family:'Courier New', monospace"></span></p></td><td style="width:329.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; font-size:11pt"><span style="font-style:italic">Translations of the form are available</span><span></span></p></td></tr><tr><td style="width:15.9pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; font-size:11pt"><span style="font-family:'Courier New', monospace"></span></p></td><td style="width:329.4pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:6pt; font-size:11pt"><span style="font-style:italic">Failure to answer the questions correctly may result in severe penalties and loss of goods</span></p></td></tr></tbody></table>

Ship/Aircraft Flight No ......................................

Date

Family name (print) .......................................

Number of persons covered by this statement:

......Wife/husband

......Person making statement

......Children under the age of 18 years

Total.....

Please indicate by (in the appropriate box whether you have in your possession or in the baggage accompanying you—

plants or parts of plants, live or dead, including fruits, nuts, seeds, bulbs, flowers, mushrooms, straw, bamboo, wooden articles or articles made of plant material Yeso No o

Column 1Item	Column 2Permit, Authority or Application	Column 3Fee
1.	Permit to export or re-export a manufactured product derived from a species listed in Schedule 2 of the Act in accordance with sections 29, 31 or 32 if:(a) the product is part of the personal or household effects of a person departing from Australia; and(b) its export or re-export is not for a commercial purpose	$1.00
2.	Permit to export a household pet in accordance with section 16 of the Act	$150.00
3.	Permit to import or export a specimen (except a permit referred to in item 1 or 2)	$30.00
4.	Authority, except:(a) an authority given under section 43A of the Act; or(b) an authority given under section 44 of the Act to export a specimen, provided that the Designated Authority is satisfied:(i) that the specimen will be used for the identification of a specimen, or for education or training; or(ii) that the specimen has been seized under the Act, and will be used to facilitate investigations outside Australia in relation to trade relating to wildlife; or	$150.00
	(c) an authority given under section 44 of the Act to import a specimen, provided that the Designated Authority is satisfied:(i) that the specimen will be used for the identification of a specimen, or for education or training; or(ii) that the specimen was exported from Australia in contravention of the Act; or(iii) that the specimen will be used to facilitate investigations in Australia in relation to trade relating to wildlife; or(d) an authority mentioned in subregulation 16 (4)
4A	Application under section 57D of the Act (for a certificate of registration to possess birds of a classified exotic species)	$30.00
4B	Application under section 69D (for the delivery of a seized specimen)	$100.00
5	Application, except:(a) an application referred to in subregulation 16 (3); or(b) an application for a permit or an authority referred to in item 1, 2, 3 or 4, or subregulation 16 (4); or(c) an application under section 40, 43A, 57D or 69D	$150.00