Approved form AF2006-77
Stock Act 2005 Form 1

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   	500 Cotter Road
Environment ACT							Weston Creek
GPO Box 158							ACT 2611
Canberra ACT 2601

Telephone: 620 72264

1.	 The applicant’s full name is:

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

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

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

3.	The applicant’s full residential address is:

………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
(Print residential address above)

4.	The applicants 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)

8.	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)

9.	The applicant applies for the allocation of a SHEEP 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)

APPLICATION FEES ARE PER IDENTIFICATION APPLIED FOR. 

THE APPLICATION FEE IS TO ACCOMPANY THE APPLICATION.  (Cheques should be made payable to Environment ACT.)

ALL BRANDS AND EARMARKS ARE TO COMPLY WITH PREFERRED DIMENSIONS OF BRANDS AND ARRANGEMENTS OF CHARACTERS OUTLINED BELOW.

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.

____________________________
     Signature of Applicant(s)

_____________________
         Date of Application

PREFERRED DIMENSIONS OF BRANDS AND ARRANGEMENTS OF CHARACTERS

1.	A brand first registered after 1 August 1991 must comply with the following specifications.
a.	the characters of the brand must be arranged in a horizontal, straight line so that the first character identifies the ACT and the second and third characters identify the brand’s registered proprietor; and
b.	the characters of the brand must be:
i.	not less than 35 mm nor more than 75mm in height; and 
ii.	
50mm

10mm

10mm

Example only

       C   K     L

not less than 10 mm apart from each other.

The character ‘C’ identifies the ACT and must prefix all brands registered in the ACT.
2.	A person must not construct a branding instrument depicting a brand first registered after 1 August 1991 in more than two pieces.
3.	If a person constructs such a branding instrument in two pieces the person must ensure that:
a.	one of the pieces depicts two characters one of which identifies the relevant district and the other of which is the first of the characters which identifies the proprietor of the brand; and
b.	the other  piece depicts the second of the characters which identifies the proprietor.
4.	A person must not apply to stock a branding instrument that depicts a registered brand unless:
a.	in the case of a brand that was registered before 1 August 1991 the instrument is in one piece; or
b.	in the case of a brand registered on or after that date the instrument is either in one piece of two pieces and, if in two pieces, that pieces have been constructed in accordance with clause 3.
5.	In applying a branding instrument that consists of two pieces, a person must ensure that, reading from left to right, the character which identifies the relevant district appears at the extreme left of the brand.