++++++++++++++++++++++Application to register Particulars of Stock Identification

STOCK ACT 2005
Section 69 – Approved Forms

Application to Register Particulars of Stock Identification

To:  Controller of Stock                                                                      OR   Cnr Sullwood Drive & Athllon Drive
ACT Parks and Conservation Service			           FARRER  ACT 2607
PO Box 1065
TUGGERANONG  ACT  2901

Telephone: 620 72264

1.	 The applicant’s full name is:

……………………………………………………
(Please print full name)

2.	 If applicant is a business name, please record the name of the business:

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………...
(Please print full name)

3.	The applicant’s full residential address is:

(Print residential address above)

4.	The applicant’s full postal address is:

(Print postal address above – if same as address – ‘as above’)

5.	The applicant occupies a holding (land) within the ACT. Particulars of the holding are:

(Print above sufficient details to identify the holding
-if no land is occupied record why the stock identification is required.)

6.	 The names of the adjoining property owners are:

(Record the names of all neighbours)

7.	The applicant applies for the allocation of a BRAND (to be on CATTLE OR HORSES) and to be registered as the proprietor of the allocated brand. The preferred brand is:

(Draw diagram of preferred brand)

AND/OR

8.	The applicant applies for the allocation of a COLOUR BRAND (to be used on SHEEP) and to be registered as the proprietor of the allocated brand. The preferred brand is: 

(Draw diagram of preferred brand)

AND /OR

9.	The applicant applies for the allocation of a SHEEP EARMARK and to be registered as the proprietor of the allocated earmark. 
If the earmark number is known, please record number                                                                                          

           Front of ear

           Back of ear

           Front of ear

           Back of ear
	
(Draw diagram of preferred earmark)

1.	The applicant applies for the allocation of a CATTLE EARMARK and to be registered as the proprietor of the allocated earmark. The preferred earmark is: 

If the earmark number is known, please record number

           Front of ear

           Back of ear

           Front of ear

           Back of ear
	
(Draw diagram of preferred earmark)

                                                                          Signature of Applicant(s)

                                                                          Date of Application

APPLICATION FEES ARE PER IDENTIFICATION APPLIED FOR.

THE APPLICATION FEE IS TO ACCOMPANY THE APPLICATION.

Following the registration, an annual fee will apply if the registered proprietor(s) of the brand is not a stock ratepayer to the ACT Government. The annual fee will apply unless the registered proprietor and the ratepayer’s name are exactly the same.