application to keep restricted birds

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
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RESTRICTED BIRDS APPLICATION
current as at 1st May 2013
M# = MAXIMUM NUMBER OF THIS SPECIES ALLOWED TO BE KEPT
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