Western Australian Consolidated Regulations Western Australian Consolidated RegulationsForm 1
Artificial Breeding of Stock Act 1965
Artificial Breeding (Sheep) Regulations 1983
APPLICATION FOR A LICENCE OR RENEWAL OF LICENCE
MINISTER FOR AGRICULTURE 2 ,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
I/We................................................................................................................................
of.....................................................................................................................................
hereby apply for * a
licence to use the premises for
* the renewal of my/our licence to use the
premises described hereunder for the
* collection and processing of semen from sheep
for general sale or use with respect to the collection, dilution, examination,
chilling, freezing, storing, distribution, sale and use of semen;
* storage and sale of semen from sheep.
Address of
premises.....................................................................................................….
Description of
premises................................................................................................….
Dated this..........................................day
of..................................................19………….
…….......................................
Signature of Applicant(s).
* Strike out whichever is not applicable.
Fee................................................attached.
Form 2
Artificial Breeding of Stock Act 1965
Artificial Breeding (Sheep) Regulations 1983
LICENCE
MINISTER FOR AGRICULTURE 2 ,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
.................................................................of....................................................................
(Name of Licensee(s))
(Address)
* is/are hereby licensed to use the premises
described hereunder for the —
* collection and processing of semen from sheep
for general sale or use with respect to the processes of collecting, diluting,
examining, chilling, freezing, storing, distribution, sale and use of semen;
* storage and sale of semen from sheep.
Address of
premises.......................................................................................................
Description of
premises..................................................................................................
This licence remains in force for 3 years from the date of issue i.e.
until.....................
..................................... 19........ and is issued subject to the
conditions prescribed by the Artificial Breeding of Stock Act 1965 as
amended, and regulations made thereunder, and to the following
conditions —
(Insert here any special conditions.)
These conditions may be varied by the Minister.
Issued this.........................................day
of......................................................19……….
……….........................................
Minister for Agriculture 2 .
* Strike out whichever is not applicable.
Form 3
Artificial Breeding of Stock Act 1965
Artificial Breeding (Sheep) Regulations 1983
APPLICATION FOR TRANSFER OF LICENCE
MINISTER FOR AGRICULTURE 2 ,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
I/We................................................................................................................................
of.....................................................................................................................................
being the holder(s) of a licence to use the premises described hereunder,
hereby apply for the transfer of that licence
to.....................................................................................
of.....................................................................................................................................
Address of
premises.......................................................................................................
licensed for the —
* collection and processing of semen from sheep
for general sale or use with respect to the collection, detection,
examination, chilling, freezing, storing, distribution, sale and use of semen;
* storage and sale of semen from sheep.
Dated this..........................................day
of...................................................19…………..
Fee................................................attached.
........................................................
Signature of Applicant(s).
........................................................
Signature or Transferee(s).
* Strike out whichever is not applicable.
Form 4
Artificial Breeding of Stock Act 1965
Artificial Breeding (Sheep) Regulations 1983
APPLICATION FOR VARIATION OF A LICENCE
MINISTER FOR AGRICULTURE 2 ,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
I/We..............................................................................................................................….
of..................................................................................................................................…..
being the holder(s) of a licence in respect of the premises
at.......................................….
......................................................................................................................................….
for the purposes
of........................................................................................................….
hereby apply for a variation of the licence so as to authorize the use of the
premises
for ......................................................................................................................................
....................................................................................................................................…….
Fee................................................attached.
Dated this......................................day
of….….….....................................19…….….……
………......................................
Signature of Licensee(s).