2764/1116 NOVEMBER 2016 Application for addition of new cut codes or product types Form approved under the Export Control (Fish and Fish Products) Orders 2005, Export Control (Eggs and Egg Products) Orders 2005 and the Export Control (Milk and Milk Products) Orders 2005 Section A: General information Purpose of this form For exporters and occupiers of registered establishments to apply for a new cut code or product type to export dairy, egg or fish products from Australia. Do not use this form to add an existing cut code or product type to your establishment. Before applying • See current cut codes and product types for dairy, eggs and/or fish. • See the Fish names database for common and scientific names. This name will appear as the product description on your export documents. • Check the Australian Harmonized Export Commodity Classification (AHECC) code for your product. • Contact the Department of Immigration and Border Protection for written verification of the AHECC code for your product. To complete this form Electronically You will need the latest version of Adobe Acrobat Reader to save changes to your document. Manually Use black or blue pen Print in BLOCK LETTERS Mark boxes with a tick or a cross Your application must include Post or email (preferred) your application a completed and signed application form written confirmation from the Department of Immigration and Border Protection of the AHECC code for your product. Dairy, Eggs and Fish Exports Program Exports Division Department of Agriculture and Water Resources GPO Box 858 Canberra ACT 2601 Phone 1800 900 090 (within Australia) or +61 3 8318 6700 (outside Australia) 2764_1116 Email [email protected] Application for addition of new cut codes or product types 1 of 4 Form identification number 2764/1116 Section B: Application details 1 Contact person Title Given name(s) Work phone (include area code) Family name Mobile phone Email 2 Establishment number (dairy, eggs and/or fish) 3 Exporter number (dairy only) Section C: Request for a new cut code or new product type Ensure the product type corresponds to the cut code you would like created. Dairy 4 Product type 5 Describe the product. 6 AHECC product code Eggs 7 Product type (select one box only) EGG: Whole eggs EGP: Processed eggs 8 Condition of product (select one box only) Chilled Frozen Unrefrigerated 9 Describe the product. 10 AHECC product code Application for addition of new cut codes or product types 2 of 4 Form identification number 2764/1116 Fish 11 Australian fish name 12 Describe the product. 13 Condition of product (select one box only) Chilled Frozen Live Unrefrigerated 14 Cut type (for example, fillet, loins or cutlets) 15 AHECC product code Application for addition of new cut codes or product types 3 of 4 Form identification number 2764/1116 Section D: Applicant declaration To be completed by the person listed in section B of this application. I declare that the information I have provided is true and correct. I understand that it is a criminal offence under the Criminal Code Act 1995 to knowingly give false or misleading information to a Commonwealth officer exercising powers under Commonwealth law. This offence carries a maximum penalty of 12 months’ imprisonment. I have read and understood the privacy notice and Privacy Policy. Signature (enter signature or type your name) Date (dd/mm/yyyy) Full name Section E: Privacy notice ‘Personal information’ means information or an opinion about an identified, or reasonably identifiable, individual. By completing and submitting this form you consent to the collection of all personal information contained in this form. The Department of Agriculture and Water Resources collects your personal information (as defined in the Privacy Act 1988) in relation to this form for the purposes of assessing your application for a new cut code and related purposes. If you fail to provide some or all of the personal information requested in this form, the department will be unable to process your application. The department may disclose your personal information to other Australian Government agencies, persons or organisations where necessary for the purposes described provided the disclosure is consistent with relevant laws, in particular the Privacy Act. Your personal information will be used and stored in accordance with the Australian Privacy Principles. See our Privacy Policy web page to learn more about accessing or correcting personal information or making a complaint. Alternatively, telephone the department on +61 6272 3933. SAVE PRINT CLEAR SUBMIT OFFICE USE ONLY Dairy, Eggs and Fish Exports Program New code Date referred to Documentation, Registration and Licensing section Documentation, Registration and Licensing section Date new code entered into system Date client or Audit services group notified of new code Departmental officer name Application for addition of new cut codes or product types 4 of 4
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