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BUS, COURTESY VEHICLE & LIMOUSINE

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BUS, COURTESY VEHICLE & LIMOUSINE Powered By Docstoc
					       Application for Commercial Ground Operator Licence


BUS, COURTESY VEHICLE & LIMOUSINE

        This form is to be used when applying to Brisbane Airport Corporation Ltd, ABN 54 076 870 650 for a
        Licence:
        •       to enter Brisbane Airport; and
        •       to use the Facilities,
        in a Bus, Courtesy Vehicle or Limousine.

        You will also need:
        •      if an individual, a copy of the applicant’s current driver’s licence or passport;
        •      if a business/company/organisation, a recent Australian Securities and Investments Commission search
               OR a copy of the current Certificate of Registration of a Business Name of the applicant;
        •      copy Operators Accreditation (if applicable)1.
Note: All relevant questions must be answered. Otherwise, the                            First person’s details
application will not be processed.                                                       Family name                                          Male       Female

1       Are you applying in a
        business/company/organisation name?                                              Given name/s

        Yes              go to 2
                                                                                         Residential address
        No               go to 3

                                                                                                                                   Postcode
2       Business/company/organisation details
        Note: A recent Australian Securities and Investments                             Postal address (if the same as the street address write “as above”)
        Commission search must be attached.

                                                                                                                                   Postcode
        Business/company/organisation name
                                                                                         Telephone (private)                       Telephone (business)

        Australian Company Number/Australian Business Number
                                                                                         If there is no other applicant or member of the corporation/
                                                                                         business/organisation, go to 4
        Street address
                                                                                         If there is another applicant or member of the corporation/
                                                                                         business/organisation, please continue.
                                             Postcode
                                                                                         Second person’s details (if applicable)
        Postal address (if the same as the street address write “as above”)
                                                                                         Family name                                          Male       Female

                                             Postcode
                                                                                         Given name/s
        Telephone number                     Fax number (if applicable)
                                                                                         Residential address

        Email address (if applicable)
                                                                                                                                   Postcode

                                                                                         Postal address (if the same as the street address write “as above”)

3       Personal details
                                                                                                                                   Postcode
        Note: This section must be completed by an individual applicant.
        If there are more than two applicants, attach a separate sheet. A
        copy of each applicant’s current driver’s licence or passport must               Telephone (private)                       Telephone (business)
        be attached.




1
    Granted under section 12 of the Transport Operations (Passenger Transport) Act 1994 (Qld)

BRISBANE/5307981.01
4     Operator Accreditation details                                                                 First person’s name
      (issued by Queensland Transport) (if applicable)
      Note: A copy of the Operator Accreditation, if applicable, must
      be attached
      Name of operator on Operator Accreditation                                                     Signature



      Operator Accreditation number                                                                  City or town where signed                               Date



      Date issued
                                                                                                     Witness signature


      Expiry date
                                                                                                     Witness name


                                                                                                     Witness address
5     Vehicle details
      Number of buses included in application
      Number of courtesy vehicles included in application                                            Second person’s name (if applicable)

      Number of limousines included in application
      Note: Complete and attach details of all vehicles included in
      application.                                                                                   Signature

6     Statement
                                                                                                     City or town where signed                               Date
      Note: In the case of an individual, the application must be
      signed by the applicant. If there is more than one individual,
      all applicants must sign the application. In the case of a                                     Witness signature
      business/company/organisation, the application must be
      signed by the person or persons carrying on the business,
      the sole director or two directors or a director and a
      secretary of the company or the person or persons                                              Witness name
      authorised to sign on behalf of the organisation (as
      applicable).
                                                                                                     Witness address
      I/we state that the information provided in this
      application is complete, true and correct

                                                                      PRIVACY STATEMENT AND CONSENT
BAC is collecting your personal information on this form for the purposes of the consideration, processing your request and, if appropriate, the issue of a relevant commercial ground
operator licence. Other purposes for which your personal information may be used and disclosed by BAC includes enforcement, research by BAC or authorised third parties,
statistical analysis by BAC and marketing of airport or other services offered by BAC to tenants, occupiers and users of Brisbane Airport. By applying for such a licence, you
consent to BAC using and disclosing your personal information for these purposes.
Your personal information is important to us and BAC will do its best to protect your personal information from unauthorised use and disclosure. Your personal information:
•           is collected pursuant to the Airports Regulations 1996 relating to the operation of ground transport at Brisbane Airport; and
•           will not be disclosed to any person unless an exception applies (see below); and
•           is able to be accessed by you upon reasonable notice to BAC and upon the payment of BAC’s reasonable expenses relating to your access (eg photocopying and
            reasonable administration charges). No application fee for access will be charged.
If you fail to provide to BAC with any personal information required by this form, or you provide incomplete information, BAC may not be able to consider or process your application
for, or issue you with, a relevant licence.
Exceptions to Disclosure - an exception may be:
•           disclosure that is required by law (including the Airports Act 1996 (Cth) and the Privacy Act 1988 (Cth)) or as required by any lawful authority (eg police force or a court)
•           for the purposes of BAC obtaining legal or other professional advice
•           disclosure to, and use by, a third party in the case of a sale, transfer or assignment of the whole, or part, of the business or undertaking of BAC or the whole or part of
            the assets.
If you have any questions regarding the way BAC will handle your personal information, or if you wish to gain access to your personal information, BAC can be contacted using the
Contact Details below.

                                                                                  Contact Details
              Brisbane Airport Corporation Ltd                          Postal address                                  PO Box 61, Hamilton Central Qld 4007
              ABN 54 076 570 650                                        Telephone                                       (07) 3406 3165
              9 Boronia Rd                                              Facsimile                                       (07) 3866 3075
              Eagle Farm Qld 4009                                       Website                                         www.workingatbrisbaneairport.com
                                                                        Email                                           gtoinfo@bne.com.au

                                                                                 Office use only
    Application approved                       Yes                                No

    Licence Number

    Date issued                                                                               Date of expiry

    Approved by                                                                                            Date
DETAILS OF VEHICLES INCLUDED IN APPLICATION
Note: Complete details of all vehicles included in application. If there are more than 6 vehicles, attach an additional
sheet




   First vehicle                                                                  Fourth vehicle


   Bus               Limousine                Courtesy Vehicle                    Bus            Limousine              Courtesy Vehicle
   Owner/lessor                                                                   Owner/lessor


   Make                                                                           Make


   Model                                                                          Model


   If a bus, passenger carrying capacity (as specified by the manufacturer)       If a bus, passenger carrying capacity (as specified by the manufacturer)



   Colour                                                                         Colour


   Registration number                                                            Registration number



   Second vehicle                                                                 Fifth vehicle


   Bus               Limousine                Courtesy Vehicle                    Bus            Limousine              Courtesy Vehicle
   Owner/lessor                                                                   Owner/lessor


   Make                                                                           Make


   Model                                                                          Model


                                                                                  If a bus, passenger carrying capacity (as specified by the manufacturer)
   If a bus, passenger carrying capacity (as specified by the manufacturer)


   Colour                                                                         Colour


   Registration number                                                            Registration number




   Third vehicle                                                                  Sixth vehicle


   Bus               Limousine                Courtesy Vehicle                    Bus            Limousine              Courtesy Vehicle

   Owner/lessor                                                                   Owner/lessor


   Make                                                                           Make


   Model                                                                          Model


                                                                                  If a bus, passenger carrying capacity (as specified by the manufacturer)
   If a bus, passenger carrying capacity (as specified by the manufacturer)


   Colour                                                                         Colour


   Registration number                                                            Registration number
Additional vehicle                                                         Additional vehicle


Bus               Limousine                Courtesy Vehicle                Bus            Limousine              Courtesy Vehicle
Owner/lessor                                                               Owner/lessor


Make                                                                       Make


Model                                                                      Model


If a bus, passenger carrying capacity (as specified by the manufacturer)   If a bus, passenger carrying capacity (as specified by the manufacturer)



Colour                                                                     Colour


Registration number                                                        Registration number



Additional vehicle                                                         Additional vehicle


Bus               Limousine                Courtesy Vehicle                Bus            Limousine              Courtesy Vehicle
Owner/lessor                                                               Owner/lessor


Make                                                                       Make


Model                                                                      Model


                                                                           If a bus, passenger carrying capacity (as specified by the manufacturer)
If a bus, passenger carrying capacity (as specified by the manufacturer)


Colour                                                                     Colour


Registration number                                                        Registration number




Additional vehicle                                                         Additional vehicle


Bus               Limousine                Courtesy Vehicle                Bus            Limousine              Courtesy Vehicle

Owner/lessor                                                               Owner/lessor


Make                                                                       Make


Model                                                                      Model


                                                                           If a bus, passenger carrying capacity (as specified by the manufacturer)
If a bus, passenger carrying capacity (as specified by the manufacturer)


Colour                                                                     Colour


Registration number                                                        Registration number

				
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Description: BUS, COURTESY VEHICLE & LIMOUSINE