Document ID: chunk:federal_register_of_legislation:F2024N00656:schedule:1:p1
Version: federal_register_of_legislation:F2024N00656
Segment Type: schedule
Provision Reference: sch 1 (pt 1/5)
Character Range: 3975–6993

Schedule 1—Approved form - Application for a Permit to Export a Class B Object

Application for a Permit to Export a Class B Object
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Applicant details
                  Applicant  Applicant Name *                                       Individual  Organisation
                                                                      Organisation Name
                                                                     Title        First Name      Last Name

                                                                            Must be the full legal name of the applicant organisation

Primary address *
Address

Address Line 1, Suburb/Town, State/Province, and Postcode are required.
When recording your location, you may be presented with multiple address options. Please choose the most complete address with a postcode when making your selection.

Contact details

Contact name *
Name
Title
First Name
Last Name

Position

Phone number *
Email *
Must be an email address.

What is your  Owner
relationship to the  Authorised agent
object? *  Potential buyer

If you are not the Owner, please confirm that you have authority to apply for this Export Permit? *
      Yes  No

Please provide reason for ticking no *

Note: Section 13A of the Act requires the provision of an address in Australia for the service of notices. You may update this address at any time by giving notice in writing in the same manner as you submitted this application.

Note: The Department will correspond with you in relation to your application, including providing the outcome of your application and any reasons for decision, via the email address included in your application form, unless you indicate another preference.

Owner details
Please provide details of the Owner (optional).

Name
Title First Name Last Name

Organisation

Address
Address

Phone number

Email
Must be an email address.

If your application is approved, who should the Export Permit be issued to? (e.g. John Smith, or John Smith's Auction House) *

Object details
* indicates a required field

Object name *

Object details *
What is the object? e.g. a painting or a stamp.

Photographic requirements

Please provide photos of the object, while clearly naming file uploads (i.e. vehicle - front/rear/side).

   You must provide clear colour photographs of the object. The object should be clearly visible and identifiable.
   Where the object has a serial, chassis or engine number, photos of this identification must be included. If the number is not accessible an alternative method of identification such as a pencil rubbing of the compliance plate is acceptable.
   A clear scan of a photograph of the object published in a book or catalogue is acceptable.
   For natural science objects, a photo of the actual specimen, or in the case of a collection, a representative sample must be included.
   For very large collections, a photo of the most significant object as well as a photo of a representative example of the