DEPARTMENT of PRIMARY INDUSTRIES and WATER REQUEST TO CONSOLIDATE PROPERTIES

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DEPARTMENT of PRIMARY INDUSTRIES and WATER REQUEST TO CONSOLIDATE PROPERTIES Powered By Docstoc
					                              DEPARTMENT of
                              PRIMARY INDUSTRIES
                              and WATER




    REQUEST TO CONSOLIDATE PROPERTIES UNDER ONE PROPERTY
                     IDENTIFICATION CODE
                      (For Animal Identification)

Return to:     Registrar of Brands
               Department of Primary Industries and Water
               GPO Box 44
               HOBART TAS 7001
               PH: 6233 6885          FAX: 6233 3843
Applicant
Full Name:

Postal Address:

Town:                                            Post Code:

Phone:                                           Fax:
Mobile:

                                                 Daytime
Manager, Lessee or                               contact
Owner of Property                                number:

Livestock Owner (if same as above, write “as above”)
Name:
Postal Address:

Town:                                            Post Code:
Phone:
Mobile:                                          Fax:


Property Details
Council Property Number ( 7        Property Address           PIC of Property (if known)
Digit number) PID;                                            These will be deactivated when
                                                              consolidated with main Pic.




Revised APRIL 2007
                                 DEPARTMENT of
                                 PRIMARY INDUSTRIES
                                 and WATER




Property Identification Code of Main Property

   M
CURRENT
Farm Address:

PID of Main Property
                            Are you a     Resident or      Non Resident on Property



                DECLARATION BY PERSON IN CHARGE OF LIVESTOCK

I,……………………………………………………………………………being the
person in charge of the live stock on the premises identified by the Property
Identification Code (PIC) Identification Number/s above premises hereby undertake
to abide by the conditions of use for these devices specified under the Animal ( brands
and Movement) Act1984.

 Signed………………………………………Date…………………………….




                                      Privacy Statement

Personal information will be collected from you for the purpose of adding additional
properties to a property identification code for animal identification. This information will be
used by DPIW for determining the relevant application and may be used for other purposes
permitted by the (Animal Farming Registration Act 1994, Animal (Brands & Movement) Act
1984, Animal Health Act 1995, Animal Welfare Act 1993, Agricultural and Veterinary
Chemicals (Control of Use) Act 1995). Failure to provide this information may result in your
application not being able to be processed.

Your personal information will be used for the primary purpose for which it is collected, and
may be disclosed to courts and other agencies authorised to collect it. Your basic personal
information may also be disclosed to other public sector bodies where necessary for the
efficient storage and use of the information. Personal information will be managed in
accordance with the Personal Information Protection Act 2004 and may be accessed by the
individual to whom it relates on request to DPIW.




Revised APRIL 2007