Department of Agriculture and Food RESTRICTED BIRDS APPLICATION APPLICATION TO KEEP RESTRICTED BIRDS Permit covers the keeping of restricted avian fauna at the address stated on the authority. Completed forms should be returned to: Department of Environment and Conservation Locked Bag 30 Bentley Delivery Centre WA 6983 Or faxed to (08) 9219 8242 Further information The permitting requirements is available from DEC Wildlife Licensing Section Phone: (08) 9219 9835 Email: [email protected] RESTRICTED BIRD PERMITS ARE ISSUED FOR A 1-YEAR PERIOD, WITH FEES PAYABLE AS BELOW. PLEASE ALLOW FIVE (5) WORKING DAYS TO PROCESS COMPLETE AND CORRECT APPLICATIONS. Applicant Title: Given name(s): -- Please Select -Miss Ms. Mrs. Mr. Dr. Surname: Street address (residential): Suburb: State/Territory: Postcode: State/Territory: Postcode: State/Territory: Postcode: Street address (postal): Suburb: Street address (aviary): Suburb: Phone Fax: Email: Mobile: Date of birth: Date of application: Signature: RESTRICTED BIRDS APPLICATION current as at 1st May 2013 Page 1 RESTRICTED BIRDS APPLICATION Applicant is required to provide: 1. 2. Proof of identity and age (driver’s licence, passport, or other appropriate document). Details of any relevant convictions in Australia in the past five years. Relevant conviction means a wildlife related offence. Fees and Payment Money order/cheques made payable to Department of Environment and Conservation to be attached to completed application form OR complete credit card details below. Please do not send cash via post. Licence Type (tick one only) Category of Permit being sought (tick only one): Restricted Keeping Permit (1 year) Restricted Keeping Permit (1 year) CREDIT CARD PAYMENT Name of Cardholder: No Fee Fee $30.00 (use form on page 3) (VISA & MASTERCARD ONLY) Expriry Date: / Signature of Cardholder: RESTRICTED BIRDS APPLICATION current as at 1st May 2013 Page 2 RESTRICTED BIRD KEEPING CATEGORIES EXEMPT BIRDS - If these species are the only birds kept, no licence is required Canary, Common, Serinus canaria Duck, Muscovy, Cairina moschata Cardinal, Red-crested, Paroaria coronata Grassquit, Blue-black, Jacarini Chicken; Domestic Fowl; all bantams; Red Jungle Fowl, Gallus gallus Duck, domestic breeds only, Anas spp. Duck, Mallard; Mallard, Anas platyrhynchos Goose, All Domestic Strains, Anser anser Firefinch, Red-billed, Lagonosticta senegala Guineafowl, Helmeted, Numida meleagris Pigeon, Domestic; Rock Dove, Columba livia Goose, Swan; Chinese Goose, Anser cygnoides Grassquit, Cuban; Cuban Finch, Tiaris canora Ground-dove, White-bibbed; Pigeon, White-breasted Ground; Jobi Island Dove, Gallicolumba jobiensis Parrotfinch, Red-throated; Red-faced Parrotfinch, Erythrura psittacea Peafowl, Common; Indian Peafowl, Pavo cristatus Peafowl, Green, Pavo muticus Pheasant, Golden, Chrysolophus pictus Pheasant, Himalayan Monal; Impeyan Pheasant, Lophophorus impejanus Pheasant, Kalij, Lophura leucomelanos Pheasant, Lady Amherst's, Chrysolophus amherstiae Pheasant, Reeves's, Syrmaticus reevesii Pheasant, Swinhoe's, Lophura swinhoii Goldfinch; European Goldfinch Carduelis carduelis Finch, Volatinia jacarina Pigeon, Luzon Bleeding Heart, Gallicolumba luzonica Pytilia, Crimson-winged; Aurora Finch, Pytilia phoenicoptera Pytilia, Green-winged; Melba Finch, Pytilia melba Swan, Mute; White Swan, Cygnus olor Turkey, Common, Meleagris gallopavo Turtle-Dove, Laughing, Streptopelia senegalensis Turtle-Dove, Spotted, Streptopelia chinensis Waxbill, Lavender; Lavender Finch, Estrilda caerulescens Pheasant, Siamese Fireback, Lophura diardi AA Waxbill, Zebra; Golden-breasted Waxbill; Orange-breasted Waxbill, Amandava subflava FREE-OF-CHARGE RESTRICTED KEEPING BIRDS - A free licence is required for the birds listed here. Canary, Yellow-fronted; Green Lovebird, Masked, Agapornis Partridge, Chukar; Chukor or Chukka M30 Singing Finch, Serinus mozambicus personatus Partridge, Alectoris chukar Cockatoo, Sulphur-crested, Lovebird, Nyasa; Lilian’s Pheasant, Ring-necked; M30 M30 M20 Cacatua galerita Lovebird, Agapornis lilianae Common Pheasant, Phasianus colchicus Conure, Jandaya; Jandaya Parakeet, Lovebird, Peach-faced, Pheasant, Silver, Lophura M20 M30 Aratinga jandaya Agapornis roseicollis nycthemera Conure, Sun; Sun Parakeet, Aratinga Lovebird, Fischer’s, Agapornis Parakeet, Alexandrine, Psittacula M30 solstitialis fischeri eupatria Parakeet, Plum-headed, Cordon-bleu, Blue-capped; BlueLovebird species hybrids, M10 M30 headed Cordon-bleu, Uraeginthus Agapornis spp. (if neither parent Psittacula cyanocephala cyanocephalus species is $30) Cordon-bleu, Red-cheeked, Munia, Black-headed; Black-headed Red Bishop, Northern; Orange M10 Uraeginthus bengalus Nun, Lonchura Malacca Bishop, Euplectes francisanus Fody, Madagascan Red; Munia, White-rumped; Bengalese M20 Scaup, New Zealand, Aythya M20 Madagascar Weaver, Foudia Mannikin, Lonchura striata Novaeseelandiae madagascariensis Dove, Namaqua; Cape or Munia, White-headed, Shelduck, Paradise; New Zealand M30 M20 Masked Dove, Oena capensis Lonchura maja Shelduck, Tadorna variegate Dove, Ruddy Ground; Talpacoti, M20 Goose, Egyptian, Alopochen Silverbill, Indian; White-throated Columbina talpacoti aegyptiacus Munia; Common Silverbill, Lonchura malabarica Munia, Red; Red Strawberry Finch; Red Siskin, Hooded; Yellow Siskin; Dove, Collared; Collared Turtle-dove; Indian Ring Dove; Barbary Dove or Indian Avadavat; Tiger Finch; Red Black-hooded Yellow Siskin, Carduelis Waxbill, Amandava amandava magellanica (fawn or white variations), Streptopelia decaocto Cordon-bleu, Blue-breasted; BlueMannikin, Nutmeg; Spicefinch; Spotted Sparrow, Java; Paddy Finch, AA breasted Waxbill, Uraeginthus Munia; Scaly-breasted Munia, Lonchura Padda oryzivora (Can only be angolensis punctulata kept in areas south of Coral Bay) Quail, Japanese, Coturnix japonica Parakeet, Red-fronted; RedSparrow, Paradise; Aberdeen M10 M20 fronted Kakariki, Cyanoramphus Finch; Redheaded Amadina, novaezelandiae Amadina erythrocephala Greenfinch, Oriental, Carduelis sinica Greenfinch; European Greenfinch, Waxbill, Common; St Helena M20 Carduelis chloris Waxbill, Estrilda astrild Parrot, Meyer’s; Brown Parrot, Parakeet, Rose-ringed; Indian or M10 Weaver, Cut-throat; Cut-throat M10 M30 Poicephalus meyeri African Ringneck Parrot or Finch; Ribbon Finch, Amadina Parakeet, Psittacula krameri fasciata Parakeet, Yellow-fronted; Grenadier Weaver; Red Bishop; M10 M10 Yellow-fronted Kakariki, Red Bishop, Southern; Red Cyanoramphus auriceps Bishop; Grenadier Weaver, Euplectes orix RESTRICTED BIRD KEEPING LICENCE - Fee $30 per year (Single licence to also cover birds from above categories held at the same address) Caique, Black-headed; Macaw, Hyacinth, Anodorhynchus Parakeet, Moustached, Psittacula Black-headed Parrot, Pionites hyacinthinus alexandri melanocephala Chaffinch, Fringilla coelebs Macaw, Red-fronted, Ara rubrogenys Redpoll, Carduelis flammea M10 Duck, Mandarin, Aix galericulata Macaw, Scarlet, Ara macao Rhea, Greater, Rhea americana Conure, Golden-capped; Golden-capped Parakeet, Aratinga auricapillus Macaw, Blue and Yellow; Blue and Gold Macaw, Ara ararauna Caique, White-bellied; White-bellied Parrot, Pionites leucogaster Lory, Dusky, Pseudeos fuscata M10 Parrotfinch, Red-headed, Erythrura cyaneovirens Siskin, European; Spruce Siskin; M30 Eurasian Siskin, Carduelis spinus Parakeet, Derbyan, Psittacula derbiana Parakeet, Malabar, Psittacula columboides Twinspot, Peters’s, Hypargos niveoguttatus Twinspot, Dybowski’s, Euschistospiza dybowskii Conure, Peach-fronted, Golden-crowned Conure; Peach-fronted Parakeet, Aratinga aurea Lovebird species hybrids, M30 Agapornis spp. (if one of the parent species is $30) Lovebird, Black-cheeked, M30 Agapornis nigrigenis M12 M10 Parrotfinch, Bamboo; Tawny-breasted Parrotfinch, Erythrura hyperythra Munia, Green; Green Strawberry Finch, Green Avadavat, Amandava Formosa Pytilia, Yellow-winged, Pytilia hypogrammica M20 Siskin, Red; Venezuelan M30 Siskin; Black-hooded Red Siskin, Carduelis cucullate M20 Waxbill, Black-rumped; M20 Red-eared Waxbill, Estrilda troglodytes Parrotfinch, Tri-coloured; Threecoloured Parrotfinch; Tanimbar Parrotfinch, Erythrura tricolor Waxbill, Orange-cheeked, Estrilda melpoda Yellowhammer, Emberiza citrinella Macaw, Green-winged; Red and Green Macaw, Ara chloropterus LegendAA – ADVANCED AVICULTURAL LICENCE REQUIRED Print RESTRICTED BIRDS APPLICATION current as at 1st May 2013 M# = MAXIMUM NUMBER OF THIS SPECIES ALLOWED TO BE KEPT Clear Submit Page 3
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