Approved form AF2002-30

approved by the Commissioner of Fair Trading on 12 March 2002 under the

Second-hand Dealers Act 1906, s18 (Approved Forms)

Second-hand Dealers Act 1906
(see s 3)

Australian Capital Territory

Application for a Second-hand Dealers Licence – Company

(See attached form entitled Application for a Second-hand Dealers Licence – Company)

PROMOTING CONSUMER CONFIDENCE
ABN 98 636 852 025

APPLICATION FOR A SECOND-HAND DEALERS LICENCE
COMPANY

Warning: Please read the application carefully. Providing false or misleading information is an offence and will result in disqualification.

OFT.SHD.COMP.LIC.01

Office use only
SHD.

Licence Number

To the Commissioner of Fair Trading, Level 2, GIO House, City Walk, Canberra City (GPO Box 158, Canberra City ACT 2601)

I /we hereby apply for a Second-hand Dealers Licence in the A.C.T.	My / our Company's details are:

COMPANY DETAILS

Full registered name of Company	A.C.N.

Contact person

Mobile phone number

Telephone number	Facsimile number

COMPANY  ADDRESS
Number and Street	City,  Suburb or Town	State / Territory	Postcode

POSTAL ADDRESS	(if different to Company Address above)

PO Box or Number and Street

City, Suburb or Town

State / Territory	Postcode

EXECUTIVE OFFICERS OF THE COMPANY     Continue overleaf if insufficient space. See overleaf for definition of "Executive Officer"
Full names and addresses of Executive Officers	Position held

	

 

	

TRADING NAME(S)	Enter all trading names, whether or not registered as business names. Continue overleaf if insufficient space.

PLACE(S) OF BUSINESS IN A.C.T.  Include all places of business in the A.C.T.	Continue overleaf if insufficient space.

DECLARATION

See overleaf for definition of "Executive Officer"

*	Neither the Company nor any of the "Executive Officers" of the Company has committed an offence against the Second-hand Dealers Act 1906 or a corresponding law of a State or foreign country.
*	Neither the Company nor any "Executive Officer" of the Company has been refused a second-hand dealers licence, or had a licence cancelled or revoked, under the Second-hand Dealers Act 1906 or a corresponding law of a State.
*	None of the "Executive Officers" of the Company has committed, in Australia or a foreign country, an offence involving fraud or dishonesty.

Signature for and on behalf of the Company

Name of Signatory (please PRINT)

Date of Application

Office use only
Registration Fee:

Paid by:	Cash

Cheque

Receipt Number:

Police check Fee:

Registration Officer:

TOTAL PAYABLE:

Licence ISSUED date:

/

/

Licence EXPIRY date:

$

$

$

/	/

/	/

Office use only
APPROVAL
Issue of Second-hand Dealers Licence is

Reason for refusal:

APPROVED   /  REFUSED

Signature of Commissioner of Fair Trading or Delegate	Date of approval

	
	
/	/	

OFT.SHD.COMP.LIC.02

ADDITIONAL EXECUTIVE OFFICERS OF THE COMPANY
Full names and addresses of Executive Officers	Position held

	

 

	

ADDITIONAL TRADING NAME(S)	(Enter all trading names, whether or not registered as business names)

ADDITIONAL  PLACE(S) OF BUSINESS	(Include all places of business in the A.C.T.)

APPLICATIONS
An application for the issue of a Second-hand Dealers Licence must be in the approved form. This document is the approved form for the purposes of applications under the Second-hand Dealers Act 1906. The relevant fee  for your licence must accompany the application.
Your application must also be accompanied by a "Consent to Obtain Personal Information" form which enables the Australian Federal Police to provide relevant information, if any, about each of the "Executive Officers" of the company, from the records of the Australian Federal Police and/or the Police Services of all or any of the States and Territories of the Commonwealth of Australia.
A separate form is required for each "Executive officer" of the Company. You must provide a copy of a driver's licence or some other form of official photographic identity for each "Executive Officer" (to assist you, we will  make a copy of their original documents of identity for this purpose). You must pay a fee for these police records checks at the time of lodging your application for the second-hand dealers licence.
A licence will not be issued to the Company until the police records checks have been returned to us and the Commissioner of Fair Trading, or a delegate of the Commissioner, has approved your application. The Commissioner must be satisfied that each "Executive Officer" is a "suitable person" within the meaning of the Second-hand Dealers Act 1906, before approving your application.
"Executive Officer" means a person, by whatever name called and whether or not the person is a director of the corporation, who is concerned with, or takes part in, the corporation's management.

FEES
The following fees are payable at the time of application, either by cash or cheque: Application for a Second-hand Dealers Licence	$ 92.00 (Exempt GST)
Fee for a Police Records Check (per person)	$ 36.00 (Includes $3.27 GST) LODGEMENT

Applications for a Second-hand Dealers Licence may be: Delivered to:
Manager
Registration & Client Services Unit Office of Fair Trading
Level 2   GIO House
City Walk  Canberra City   ACT  2601

Or posted to:
Manager
Registration & Client Services Unit Office of Fair Trading
GPO Box 158
Canberra City   ACT  2601