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Aviation Security Identification Card (ASIC)

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					 OFFICE USE ONLY

     ASIC No          A          D           L
  AUSCHECK Sent: .... / .... / ....   DIAC Sent:      .... / .... / ....    Photo Taken:

  AUSCHECK Rec: .... / .... / .... DIAC Received: .... / .... / ....

  ASIC Type:                              New                   Renewal     ASIC Expiry Date

  ASIC Colour:                            Replacement           Temporary        ............... / ...............

  Comments


 APPLICANTS INFORMATION (to be completed by applicant)

  Given Name:

  Surname:                                                                  Mobile No:

  Employed by:




       Aviation Security
      Identification Card
             (ASIC)
                                                                                                              ENQUIRIES TO :
                                                                                                              ASIC Department
                           .a   u                                                                             PO Box 41

                 l.   c om                                                                                    Export Park SA 5950
          a
     w. a
                                                                                                              or

ww                               PLEASE NOTE:
                                 • APPLICATIONS MUST BE SUBMITTED AT LEAST
                                                                                                              Adelaide Airport Limited
                                                                                                              Pass Issue Office
                                   FOUR (4) WEEKS PRIOR TO NEED                                               Level 2, Terminal 1
                                                                                                              Andy Thomas Circuit
                                 • BOND AND ORIGINAL IDENTIFICATION TO BE                                     Adelaide Airport SA 5950
                                   SUBMITTED WITH NEW APPLICATIONS                                            P (08) 8154 9499
                                                                                                              F (08) 8154 9498
                                 • APPLICATIONS MUST BE SUBMITTED BY
                                                                                                              E passissueoffice@aal.com.au
                                   APPLICANT IN PERSON
                    AVIATION SECURITY IDENTIFICATION CARD (ASIC)
                              IMPORTANT INFORMATION
CONDITIONS OF ISSUE & USE FOR AN ASIC:
In consideration of Adelaide Airport Limited (AAL) allowing the applicant or, where the holder of the ASIC will not be the
applicant, the holder of the ASIC, who has an operational need to enter an Airside Security Zone or a secure area, the applicant
agrees to comply and to ensure that the holder of the ASIC complies, with the following conditions:
Prior to the issue of the Asic, all applicants must complete the Adelaide Airport Induction process, this process will take
approximately 45 minutes – Please allow this time when collecting the Asic.
The ASIC is to be prominently displayed in the approved manner when entering, remaining on or leaving an Airside Security
Zone or secure area.
The ASIC is to be presented for inspection on demand by an AAL Officer or a member of the AFP.
The loss or theft of an ASIC is to be reported immediately to the Adelaide Airport Coordination Centre on 8154 9445 (please
note that a Statutory Declaration is required within 7 days of reporting a lost/stolen ASIC. A police report must also accompany
any reported stolen ASIC.
The ASIC is to be surrendered on expiry, transfer or termination of present duty, or on request of the General Manager
Airport Operations – AAL (please note that penalties of up to $1100 may apply for failure to surrender an ASIC).
AAL may exercise its right to suspend production of ASICs and security access for any company who has expired/unrecovered
ASICs that have not been returned to AAL.
The ASIC may only be used in the course of the holder’s approved duties airside and it does not constitute an authority to enter
or remain airside for any other purpose.
The ASIC must not be altered or defaced in anyway.
The applicant as well as their employer are bound by the conditions of use, and will be responsible for any breaches on the
conditions of use by the holder of the card.
If there are any changes in circumstances to any part of this application, including the personal consent section, the General
Manager Airport Operations – AAL, must be advised immediately.
The ASIC is issued subject to the “Aviation Transport Security Act 2004 & Aviation Transport Security Regulation 2005.”
The applicant acknowledges that the holder of the card and the holder’s belongings and vehicle may be subject to an inspection
by an Airport Officer before entering and/or leaving airside.
The ASIC remains the property of AAL at all times.
If the applicant is not an employee of AAL, the applicant represents that he or she has the authority of his or her employer to
enter into this contract on behalf of both himself or herself and his or her employer. The applicant as well as his or her employer
has agreed to be bound by the above conditions of use and be responsible for any breaches of the conditions of use by the
holder of the ASIC.
Incorrect use of the ASIC or Access provisions will result in the immediate withdrawal of the ASIC and access privileges
I understand and agree to these conditions of issue and use:

……………….……………………………………………………………                                                     ………/………/………
         (Applicant’s Signature)                                                   Date


                                        PRODUCTION PROCESS, CONFIDENTIALITY
                                             AND GENERAL INFORMATION
Privacy Note
In applying for an ASIC, you must disclose certain personal information to Adelaide Airport Limited (AAL).
In order to determine whether AAL can issue you with an ASIC under the Aviation Transport Security Regulations 2005,
(ATSR 2005) needs to
    (a) collect this information from you - and
    (b) disclose this information to a third party. These third parties may include the Australian Federal Police (which conducts
        a police records check), ASIO (which conducts a security assessment), Australian Customs service (which conducts
        requirements under the Customs Act), the Department of Immigration, Multicultural and Indigenous Affairs (which
        conducts residency status checks), Civil Aviation Authority (CASA), other government departments and their agencies,
        AAL lawyers and other advisors and your employer at Adelaide Airport. Any of or all of the above mentioned parties
        may disclose that information to each other
In addition AAL may use your personal information for the purpose of our operation of Adelaide Airport, including for assessing
any current, actual or potential operational or security incident/s or breach and for enforcing the ATSR 2005 and associated
regulations, and the Airports Act and associated regulations.


                                                                                                                        Page 1
By completing this application, you consent to AAL collecting, using and disclosing personal information as set out above. If you
refuse to provide AAL with the required personal information, then AAL cannot process your ASIC application.
If you have any queries regarding this consent, you can contact the Pass Issue Office on (08) 8154 9499.
CONFIDENTIALITY
Under The privacy Act 1988 the information contained in this application is kept strictly confidential subject to the Privacy Note.

BOND
Regulation 6.28 of the Aviation Transport Security Regulations 2005 provides that an ASIC may be issued subject to a condition
imposed by AAL. This is notification in writing that a refundable bond may be imposed on the issue of an ASIC in accordance
with ASIC fee schedule. The bond is refundable once the ASIC is returned to AAL.

Note: $50 Bond must be paid at the time of lodging NEW applications.

ASICs not collected within 3 weeks of being advised of approval will be cancelled. NO refund will be given on card payment.
Bond will be refundable only when card is returned. There is no bond refund for lost or stolen cards.
It is the applicants responsibility to make sure that the ASIC is collected within this timeframe.

PAYMENT
ASIC fees are not refundable.
All ASIC fees apart from the $50 Bond (detailed above) will be invoiced to your company by AAL.
A fee of $175 will be invoiced for a NEW ASIC.
A fee of $162 will be invoiced for a RENEWAL ASIC.
AAL accept the following methods of payment:-
Cash, Credit, EFTPOS and cheques made payable to "Adelaide Airport Limited".
Please note there is a 2.8% surcharge for Amex or Diners transactions.

NEW APPLICANTS
Applicants for an initial ASIC must produce (upon presenting the application) for the purpose of personal identification,
ORIGINALS and PHOTOCOPIES of the following combinations of documents in accordance with the below table.

Before AAL can issue an ASIC to you, you must produce adequate personal identification. Under the regulations, you must
produce to AAL:-
    (a) Two (2) forms of primary identification (column A) or
    (b) One (1) form of primary identification from column A plus one (1) form of secondary identification from Column B
    (c) One (1) form of primary identification from column A plus two (2) forms of tertiary identifications from Column C

One of the forms of identification must include a photograph of the applicant

COLUMN A (PRIMARY)                            COLUMN B (SECONDARY)                        COLUMN C (TERTIARY)

A certified copy of an Australian Birth       A licence (for example a driver’s           A signed statement by his or her
Certificate (which is a copy) certified by    licence) issued to him or her               employer or former employer about the
the Registrar of births or similar officer,   under a law of the Commonwealth             employment or/
to be a correct copy                          or a State or a Territory
                                                                                          A copy (certified by the Registrar of
or/                                           or/                                         Titles or similar officer to be a correct
                                                                                          copy)
A copy (certified under section 44 of the     A government employee identification        of a record issued under a law about
Australian Citizenship Act 1948) of a         document issued to him or her               land titles or/
citizenship certificate granted to him or
her                                           or/                                         A document issued by a rating
                                                                                          authority from its records about land
or/                                           Australian student identification card      ownership or occupation or/

Current Australian or foreign passport                                                    A document issued by a bank
                                                                                          or similar financial institution
A document issued to him                                                                  from its records about a mortgage or
or her under the law of another                                                           other security that he or she gave to the
country that is evidence, under                                                           bank or institution or/
the law, that he or she is a
citizen of that country                                                                   An extract from the electoral roll
                                                                                          compiled by the Australian Electoral
                                                                                          Commission or/

                                                                                          A record issued under a law in force in
                                                                                          Australia other than a law about land
                                                                                          titles

INITIAL COMPANY APPLICATION
A covering letter will be required for all new companies. This is to enable company registration of its employees and provide
Adelaide Airport Limited with a register of company representatives as a signatory for all ASIC applications.


                                                                                                                           Page 2
NOTIFICATION OF APPROVAL
All applicants will be contacted directly or through your company once the application has been approved.

CONTRACTORS
An AAL project officer is required to sign the section on contractors who require an ASIC whilst performing work for
Adelaide Airport Limited.

AUTHORITY TO DRIVE AIRSIDE
If the applicant is required to have an Airside Driving Licence attached to their ASIC, an appointment must be made upon
application of their ASIC so enough time can be made for the applicant to pass both theory and practical driving tests. Upon
successfully passing both tests the category of Airside Driving Licence will be added to the front of the ASIC when issued.

USE OF SURVEILLANCE CAMERAS (CCTV)
AAL may carry out camera (CCTV) operations from time to time for the purpose of safeguarding against unlawful interference
with Aviation Surveillance may be intermittent or ongoing, all surveillance conducted by AAL will be in accordance with the
current CCTV Code of Practice.


                                       APPLICANT’S INFORMATION
      APPLICANT’S INFORMATION (To be completed by Applicant)


Surname (Present)………………………………...............Given Name/s .....................................................................

Other names used eg maiden name…………………………………………………………............................................

Residential address………………………………………….…………………………...……………………………………

Suburb..............................................................................State.....................................Postcode...............................

Postal address (if different from residential address)……………………………………………………………………….

…………………………………………………………………State………………………….Postcode…………………….

Telephone (hm) ….………………….…….(wk)………….............................(mob)…....................................................


Sex...... M...        ..........F…       .............................Date of Birth...............................Age...................................................

Place of Birth..........................................................Country of citizenship...................................................................

Employed by:

Company Name.............................................................................................................................................................

Applicant’s Position.................................................Employment status…....F/T...........P/T..........CAS.......(Please circle)

Department....................................................................................................................................................................

Do you currently hold an ASIC? YES NO                                                 If YES - ASIC
Number………..……………………………….

ASIC Type (ADL or AUS) ……………………….                                                     Expiry Date              ........../...........
                                                                                                               mm            yy

I declare that the information given in this ASIC application is accurate to the best of my knowledge

………………………………………………………………………………                                                                                              …….. /……… /………
       (Applicant’s signature)                                                                                                    (Date)


                                                                                                                                                                 Page 3
APPLICANTS INFORMATION CONTINUED


                  Background Check - Unlawful Non-Citizen or right to work in Australia
                         Complete this section only if you are not a citizen of Australia or New Zealand

Date of arrival in Australia ……../……../……..
                              DD MM YY

Arrival Details - Port Name                    …………………………………………
                  Vessel Name                  …………………………………………
                  Flight Number                …………………………………………

Travel Document ID (Passport Number)           …………………………………………

Visa Grant Number (current Visa Grant Number provided by DIAC via letter or on the passport)…………………………………..

Name of Parents (If entry to Australia was on parents passport, please provide their surname and given names)

                Parents Surnames               ………………………………………………………………………………………………

                Parent Given Names             ………………………………………………………………………………………………




   Acknowledgment
   I understand that I am applying for a Security Identification Card for the aviation or maritime 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 use by Auscheck to co-ordinate a background check through the Australian
   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                                                  Date




                                                                                                                  Page 4
EMPLOYER CERTIFICATION (To be completed by Applicant’s Employer)


In support of the ASIC application for ………………………………………………………………………………………………………………………….

I.......................................................................................................      of       ………………………………………………………………………………
                                                    ( Name)                                                                         (Company)

Title............................................................................................................................................................................................................................

Business Address......................................................................................................................................................................................................

Suburb ......................................................................................              Postcode .......................... ACN.....................................................................

Ph (W) ................................................................................................                  Fax (W)..............................................................................................

Email………………………………………………………………………………. Mobile ……………………………………………………………………..

Confirm that the preceding 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 AAL of any changes to the above particulars and to recover and return the ASIC/ADA prior to the applicant
leaving our employ or upon transfer to a position which no longer has an operational need to retain the ASIC.

AAL is not liable for any loss or damage sustained by the company as a result of non issue of ASICs as a result of a failure to honour the
Conditions of Issue & Use of an ASIC.

Signature:……………………………………………………………………….                                                                                  Date ………………………………………………………………………..



CONTRACTORS ONLY (To be completed by AAL Project Officer)
I confirm that an ASIC is required for project:

For the period …………… hours on ……../……./20……                                                      to …………… hours on                              ……../……./20……

          ................................................................................        ........................................................................              ……../……./20……
                                              Signature                                                                       Print name                                                     Date



AIRSIDE DRIVING (TO BE COMPLETED BY APPLICANT IF APPLICABLE)

All persons required to drive airside must apply for an Authority to Drive Airside (ADA)
A: Do you hold a current Authority to Drive Airside (ADA)                                                                                              YES             NO
      IF YES Expiry Date of current ADA is:                                 ……../……../……                                                           Category ……………

B: Do you require an ADA                                                                                                                               YES             NO

      If yes applicant to sit for theory and practical exam

C: Do you require an Authority to Use Airside Permit (AUA)                                                                                             YES             NO

      If yes applicant to complete the AUA application form

PLEASE NOTE: Theory & Practical Examination for ADA’s must be completed every TWO (2) YEARS

The applicant must successfully pass both the theory and practical components of the Airside Driving test prior to obtaining a
license to drive airside.




                                                                                                                                                                                                           Page 5
ASIC CARD REQUIRED
   Type of ASIC:
   Please tick one only

       ADL (Adelaide) (RED)                            AUS (Multiple Airport) (RED)
                                                        (supporting letter required)
       ADL (Adelaide) (GREY)                           AUS (Multiple Airport) (GREY)
                                                         (supporting letter required)


         IF SUPPORTING DOCUMENTATION IS NOT SUPPLIED AT THE TIME OF LODGEMENT,
                 AN “AUS” ASIC WILL NOT BE CONSIDERED FOR APPROVAL



   If you currently hold an “AUS” ASIC, how many times have you used this in a Security Restricted Area
   (SRA) at the other Airports over the past twelve months?.................... times.

   PLEASE NOTE: Applications for AUS cards MUST be supported by a separate written explanation
   from the employer, (on company letterhead) and provide a list of the frequency and destinations to
   security categorised airports within the validity of the ASIC.




  ASIC Definitions

  ADL - is specific to Adelaide Airport only
  AUS - is an Australia wide card

  RED ASIC - A person in the Airside Security Zone (SRA) of a Security
             Controlled Airport must properly display a valid RED ASIC

  GREY ASIC - A person in a secure area
              (other than the Airside Security Zone) of such an Airport must
              properly display either a valid RED ASIC or a valid GREY ASIC.

Note: As per Regulation 6.03 and 3.03 of the Aviation Transport Security Regulations 2005




                                                                                             Page 6
                                                                                                                            Adelaide Airport Limited
                                                                                                                                         PO Box 41
                                                                                                                             Export Park SA 5950
                                                                                                                              Phone: 08 8154 9499
                                                                                                                                 Fax: 08 8154 9498


                                   STAFF-IN-CONFIDENCE              PART EXCLUSION
                                                   (when completed)

                                                           Commonwealth of Australia

                                    CONSENT TO OBTAIN PERSONAL INFORMATION
                              (for categories where PART EXCLUSION has been granted from
                                                spent convictions legislation)

I......................................................................................................................................................hereby:
                        (Full name - BLOCK LETTERS and in INK)

(i)        acknowledge that I have read the General Information document provided with this Form and
           understand that I do not have to disclose old protected convictions information, which is
           described under the heading Spent Convictions Scheme in the General Information document,
           except any of a type listed below for which an exclusion has been granted;

Offences against Part 2 of the Crimes (Aviation) Act 1991 (except section 15) and or Part 5.3 of
the Criminal Code Act 1995

(ii)       certify that the personal information I have provided on both the front and back of this form
           relates to me and is correct;

(iii)      consent to: Adelaide Airport Limited

           ♦ forwarding this form to the Department of Transport and Regional Services and/or Australian
             Federal Police and/or the Police Services of the States or Territories of the Commonwealth of
             Australia and providing relevant information to the above organisation;
           ♦ forwarding my personal details to the Australian Security Intelligence Organisation for the
             purpose of conducting a security assessment; and
           ♦ forwarding my personal details to the Department of Immigration and Multicultural and
             Indigenous Affairs through the Department of Transport and Regional Services for the
             purpose of confirmation of my immigration status.

(iv)       specify entitlement: Issue of Aviation Security Identification Card (ASIC)

(v)        consent to the Australian Federal Police or other relevant Australian police force(s) extracting
           from their records copies of traffic violations, and criminal and/or traffic records relating to me
           pending before a Court and/or details of convictions or findings of guilt which have been recorded
           against me and which are not covered by Part VIIC of the Crimes Act 1914 dealing with spent
           convictions

(vi)       acknowledge that any information provided by me on this form or by the police as a result of the
           records check may be taken into account by the organisation mentioned in (iii) above in
           assessing my suitability to receive the entitlement.


Signature.......................................................................................…..                              Date          /      /

Note: The information you provide on this form and which the police provide to this
      organisation on receipt of the form, will be used only for the purpose stated above unless
      statutory obligations require otherwise.

                                                                                                                                                    Page 7
ATTACHMENT A

Personal Particulars                                                                                               PART Exclusion
Surname (present):                                All other Surnames used:


Christian and/or other given names:                                             Sex:
                                                                                                 Male               Female

Date of birth:                      Town / city of birth:                       State / Country of birth:


Contact phone number:               Drivers licence number:                                        State:
(h) :
(m):

Previous THREE most recent Residential Addresses
If full details of previous addresses are unavailable details of           If actual dates are unavailable, details of
town(s) and state(s) will suffice.                                         year of residence will suffice.
1. (Current)                                                                           Period of residence

                                             Post Code …………….              From                     /          /
2.

                                             Post Code …………….                       /        /          to           /        /
3.

                                             Post Code …………….                       /        /          to           /        /

                 CRIMINAL/TRAFFIC CHARGE, CONVICTION OR PECUNIARY PENALTIES
(i)     Are you the subject of any traffic violation, criminal or traffic charge(s)                     Yes              No
        still pending before a court

(ii)    Do you have any conviction(s) or finding(s) of guilt which are less than                        Yes              No
        ten (10) years old, or any juvenile conviction(s) or finding(s) of guilt
        which are less than five (5) years old?

(iii)   Do you have any conviction(s) or finding(s) of guilt which are over ten                         Yes              No
        (10) years old, (or five (5) years for juvenile conviction(s) or finding(s) of
        guilt) where the sentence imposed was less than thirty (30) months
        imprisonment for offences of the type(s) mentioned at (i) on the reverse
        of this form (ie. offences for which an exclusion has been granted)?

(iv)    Do you have any conviction(s) or finding(s) of guilt which are over ten                         Yes              No
        (10) years old, (or five (5) years for juvenile conviction(s) or finding(s) of
        guilt) where the sentence imposed was greater than thirty (30) months
        imprisonment?

                 If you answered YES to any of the above questions, please attach details.

                 USER CODE - 336                                           Police Use Only
                                                                       Australian Federal Police
           YOUR RETURN ADDRESS                                      NOT RECORDED / RECORDED
              ASIC Department
                 PO Box 41                             NOTE: As fingerprints do not accompany your request,
           EXPORT PARK SA 5950                         the Australian Federal Police cannot guarantee in any
                                                       manner, that the information supplied herewith concerns
                                                       the individual in whom you are interested.

                                                       Signature:      ....................................................................

                                                       Date:           .........../.........../............

                                                       For Commissioner Australian Federal Police
                                                                                                                                      Page 8
                             POLICE RECORDS CHECK FOR ENTITLEMENTS
                          CONSENT TO OBTAIN PERSONAL INFORMATION FORM

GENERAL INFORMATION

This form is used by organisations and applicants as part of the assessment process to determine whether a person is
suitable for the receipt of an entitlement, including employment and a Designated Security Assessment Position (DSAP) or
Position of Trust (POT) which is part of the security clearance process.

Unless statutory obligations require otherwise, the information provided on this form will not be used without your prior
consent for any purpose other than in relation to the assessment of your suitability to receive the entitlement.


POLICE RECORDS CHECK

Police records checks are an integral part of the assessment of your suitability for the entitlement sought. On this form you
are asked to disclose whether you are the subject of traffic violation(s) or any criminal or traffic charge(s) still pending
before a Court, or whether you have been the subject of criminal or traffic conviction(s) or finding(s) of guilt before a Court.
You are not required to reveal any conviction(s), which may be protected by Part VIIC of the Crimes Act 1914, relating to
pardoned, quashed or spent convictions, except where an exclusion applies (see explanation note under heading SPENT
CONVICTIONS SCHEME).

This form may be forwarded by the employing organisation to the Australian Federal Police (AFP), and you are asked to
consent to:

(a)       the AFP disclosing criminal history information from its own records to the organisation with which you are
          employed or are seeking employment, and/or insurance company or other public or private organisation from which
          you are seeking an entitlement, and;

(b)       for the AFP to access the records of any State police and to obtain any criminal or traffic violation history information
          which in turn would be disclosed to whom you are required to indicate.


SPENT CONVICTIONS SCHEME

On 30 June 1990, new Commonwealth legislation relating to the collection, use and disclosure of old conviction
information came into effect. This new law is commonly known as the Spent Conviction Scheme.

The aim of the Scheme is to prevent discrimination on the basis of certain old convictions, once a waiting period has
passed and provided the individual has not re-offended. The Scheme also covers convictions where an individual's
conviction has been set aside or pardoned.

An individual whose conviction is protected by Part VIIC of the Crimes Act 1914 does not have to disclose that conviction
to any person, including a Commonwealth authority, unless an exclusion applies. Commonwealth authorities are
prohibited from taking into account or from disclosing without consent of the individual such convictions.

A spent conviction is a conviction for a Commonwealth, Territory, State or foreign offence which satisfies all of the following
conditions:

      •    it is 10 years since the date of the conviction (or 5 years for child offenders);
      •    the individual was not sentenced to imprisonment or was not sentenced to imprisonment for more than 30 months;
      •    the individual has not re-offended during the 10 year (5 years for child offenders) waiting period; and
      •    a statutory or regulatory exclusion does not apply. (A full list of exclusions is available from the Privacy
           Commissioner).

The Attorney-General, on the recommendation of the Privacy Commissioner, has granted exclusions, both partial and full,
from the operation of the Scheme for several categories of employment. There are also statutory exclusions contained
within the Act. This means that applicants for those positions must declare all convictions where a full exclusion exists, or
convictions for specific offences where a partial exclusion exists. Details of exclusions should be provided to you by the
employing organisation before your consent is sought to conduct a criminal record check.

An individual who believes the standards dealing with disclosure and use of old conviction information have been breached
may apply to the Privacy Commissioner for an investigation of the matter. The address is GPO Box 5218, SYDNEY, NSW
2001.

For more information please phone (02) 6256 7777 or email Criminal Records: vetting@afp.gov.au




                                                                                                                       Page 9
CHARACTER CHECKING

The Australian Federal Police advises all applicants that for character checks, they must meet the following
requirements in the application.


1.     Applications to be filled out in biro or typed.

2.     Photocopy of driver’s licence or other document with photograph included must accompany
       application wherever possible.

3.     If there has been a change of names, then previous and current names MUST be included on the
       form (eg maiden, de facto, deed poll, etc).

4.     Applicant’s signature must not be more than three months old.

5.     Please check the date of birth to see if it is the correct year. Also see that all the necessary details
       have been completed and that the form is signed.




                                                                                                                  Page 10
                                ENTRY TO CUSTOMS CONTROLLED AREAS
Holders of an ASIC are advised of their additional responsibilities in Customs Controlled Areas. It is not intended to restrict
or limit authorised persons from undertaking legitimate official or commercial activities in Customs Controlled Areas.

Section 234AA of the Customs Act 1901 defines a place used by officers for Customs purposes and prohibits
entry of unauthorised persons into these places.

The areas subject to restrictions are in the international arrivals areas, international departures areas and tarmac areas
used by international aircraft and are identified by Australian Customs Service signs that state entry into the areas by
unauthorised persons is prohibited under the Customs Act.

Please Note:    All persons (including authorised persons) in Customs Controlled Areas may be asked by a
Customs Officer the purpose of their presence in that area and that officer may also examine any goods carried
by persons in, or out of, that area.

Access to Customs Controlled Areas will be limited to those areas where an authorised person has legitimate commercial
or official activities unless otherwise approved by the Customs Duty Manager, Adelaide Airport.

Airport employees (authorised persons) who are off duty from their normal employment and/or are not engaged in their
normal commercial or official activities will require specific permission from the Customs Duty Manager, Adelaide
Airport to enter Customs Controlled Areas.

Permission must also be obtained when an authorised person wishes to meet or assist family, friends or associates
arriving or departing within Customs Controlled Areas of the airport. Permission will not normally be granted unless there
are extenuating and/or compassionate circumstances. Requests for permission providing detailed reasons why access is
being sought should be made in writing and in a timely manner prior to the relevant flights arrival.


                                       Information to be provided to Customs

Where an ASIC is issued, personal information will be provided to the Australian Customs Service in accordance with
sections 213A and 213B of the Customs Act 1901 and Customs Regulations 170A and 170B. This information is required
by the Australian Customs Service to assess employees for the risk they may present in relation to a range of
Commonwealth Laws. The Australian Customs Service is obliged to handle personal information in accordance with the
Privacy Act 1988. Section 16 of the Customs Administration Act 1985 also limits the recording and disclosure of personal
information.

Customs will be provided with the following personal information:

- Name and address
- Date and place of birth
- Work location


I acknowledge that the above required identity information will be provided to Customs.




……………………………………………………………………………
         Signature of Applicant


Please complete your details:
Name:

Address:

Date Of Birth:

Place Of                                                                               (if born overseas please supply date &
Birth:                                                                                     place of arrival, flight/vessel details)
Work
Location:




                                                                                                                     Page 11
                    ADELAIDE AIRPORT SECURITY AWARENESS ASSESSMENT

This questionnaire has been developed to assess a person’s awareness of security issues as published
in the Adelaide Airport Security Guide. The object is to keep Adelaide Airport safe and secure and is a
requirement for all persons seeking an ASIC or Access Card from AAL as the issuing authority.

To successfully complete this assessment, all ten questions must be attempted with at least an 80% pass.
That is at least eight of the ten questions must be answered correctly before the ASIC or Access Card
application can proceed. If an 80% pass mark is not achieved, a period of twenty four (24) hours must
elapse between assessment attempts.

All questions are drawn from the Adelaide Airport Security Guide.

Read each question carefully before selecting your answer.

Place a circle around the letter aligned with your choice of answer.

At the time of making your application for an ASIC or Access Card you would have been referred to the
Adelaide Airport Security Guide which you should have studied before returning for your assessment.

Print Name     _______________________           Signature ______________________ Date          /    /

Employed By _______________________              Duties      __________________________________

Q1.    Why is it a requirement to display a valid ASIC?

       (a)    to provide the holder automatic access to a secure area
       (b)    it is not a requirement to display an ASIC unless law enforcement, airport security guards
              or aviation security inspectors request an inspection of identification
       (c)    so that the holder can gain unsupervised access to a secure area generally not available to
              the public for lawful and operational reasons

Q2.    When issued with an ASIC?

       (a)    it becomes your property after you have paid a security bond
       (b)    it becomes the property of your employer
       (c)    it remains the property of Adelaide Airport Limited

Q3.    If you lose your ASIC or have it stolen you must?

       (a)    notify Adelaide Airport Limited immediately
       (b)    apply for a replacement within 28 days to the AAL Pass Office
       (c)    notify the South Australian Police or the Australian Federal Police

Q4.    As an ASIC holder if I resign, retire or change my job I am required to?

       (a)    retain my ASIC until it expires
       (b)    return my ASIC promptly to AAL
       (c)    destroy my ASIC




                                                                                               Page 12
Q5.    Security screening occurs at entry points to the Sterile Areas and?

       (a)    all persons must be screened before entering the Sterile Area
       (b)    airport employees are exempt from screening while on duty
       (c)    you may enter the Sterile Area through an airside door bypassing screening

Q6.    What is meant by the term tailgating in a security context?

       (a)    allowing more than one person through a door without using a door access card for each
              person
       (b)    having a number of persons walking in a group
       (c)    walking too close to the person in front of you

Q7.    An ASIC may only be used?

       (a)    to give staff access to all areas of the airport
       (b)    to allow access to restricted areas including access to meet relatives or friends
       (c)    in the course of the holders approved duties and does not constitute an authority to enter or
              remain in a security area or airside for any other purpose

Q8.    I am only required to display my ASIC?

       (a)    when entering, remaining or working in restricted areas
       (b)    when working in the vicinity of International aircraft
       (c)    when entering or working in a customs controlled area

Q9.    If while working in the Terminal you find an unattended item you should?

       (a)    move the item to a safe area
       (b)    contact the Aviation Coordination Centre on 8154 9444
       (c)    contact the Australian Customs Supervisor 8447 9211
       (d)    open the item in an attempt to identify the owner

Q10.   If you leave your ASIC and or Access Card at home and wish to enter a Security
       Restricted Area you may?

       (a)    borrow an Access Card from a person that has the same access rights as you to enter the
              area
       (b)    enter a security sensitive area that you work in for a period of one day
       (c)    apply for a visitor identification card and be accompanied by a person with a valid ASIC




Office Use Only

Passed the assessment        Yes         No           Assessed by _____________________

       Date   _____________________




                                                                                                 Page 13
SECURITY ACCESS INFORMATION

     The ASICs that are issued by AAL have the capability for the inclusion of access coding for Adelaide Airport
     specific.

     Access is only provided to those who require access to security restricted or sterile/sensitive areas.
     If required a separate security access card can be issued for non compatible ASICs if required.

     Please indicate all the areas that you will require access to, the frequency of the access and the reason why
     access should be granted.

     IMPORTANT: an ASIC will only be approved on the basis of information provided below

                                                            Frequency of
             Access Area Required                                                                 Reason for Access
                                                           access required




CHECKLIST

     Applicant must ensure that all of the following items have been completed prior to lodgement of application.
     Applications will not be accepted or processed unless all required information has been supplied or completed.


1      Do you have original and copies of required identification documents?

2      Have you read, understood and signed the ‘Conditions of Issue & Use of an ASIC’ section?

3      Have you fully completed page 3 ‘Applicant’s Details’?

4      Have you read, understood and signed the ‘Customs Information’ page? (Page 11)

5      Has your employer completed page 5 ‘Employer Certification’?

6      Have you fully completed page 5 ‘Airside Driving’? (if applicable)

7      Have you fully completed page 6 ‘ASIC Card Required’? (if applying for an AUS ASIC, you must obtain a letter of
       support from your employer)

8      Have you fully completed page 14 ‘Security Access Information’?

9      Do you require a Security Access Card? If so, have you completed the application provided and had it signed by your
       employer?

10     Have you fully completed and signed the authorisation form for a Police Record Check?

11     Have you completed the ASIC Awareness Test?




                                                                                                                             Page 14
AAL OFFICE USE ONLY

CHECK LIST AND RECEIPT SECTION


                     IDENTIFICATION                                        APPROVAL FOR ISSUE OF NEW CARD

Birth Certificate
Passport
Citizenship Certificate
State Driver’s Licence
Valid Australian ID with photo                                Received by ………..…………………………………………

ID requirements fulfilled           Yes               No
                                                              Authorised by:...........................................…………………
                                                                                     ID & Access Coordinator


                    PREVIOUS CARD                                                                          BOND

                                                              Bond paid               YES             Receipt #...........................................
 Previously held ASIC returned to
 AAL Administration Officer       Yes               No
                                                              (Payable to)......................................................................................
 If yes, on what date     ........ / ........ / ........

 Has Statutory Declaration been lodged for
                                                              Bond returned            YES              Date____/____/____
      Lost ASIC               Yes              No
                                                                Cheque                   Credit card                    Cash                EFT
      Stolen ASIC             Yes              No

      Destroyed ASIC          Yes              No             Applicant’s signature.........................................................................

                                                                                                           Date____/____/____


                            COST                                                               RECEIPT OF ASIC

$175 New ASIC Fee
                                                                 I acknowledge receipt of the abovementioned ASIC which remains
$162 Renewal ASIC Fee
                                                                 the property of Adelaide Airport Limited and is on loan to me whilst
$135 Cancelled Application (background checks complete)          I am employed in my current capacity by the company noted in
                                                                 Section 2 of this application.
$43   Reprint ASIC Fee (Lost/Damaged, etc)

$50   ASIC Bond                                               Applicant’s Signature ……………………………………………………

All the above fees are inclusive of GST apart from the Bond
                                                                                                                                  Date___/____/____
which is exempt.

The Bond must be paid on application of ASIC. All other
fees will be invoiced to your company.




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Description: Aviation Security Identification Card (ASIC)