Form 1
Artificial Breeding of Stock Act 1965
Artificial Breeding (Sheep) Regulations 1983
APPLICATION FOR A LICENCE OR RENEWAL OF LICENCE
DEPARTMENT OF AGRICULTURE 3,
SOUTH PERTH.
I/We................................................................................................................................
of.....................................................................................................................................
hereby apply for * a licence to use the premises for
* storage and sale of semen from sheep.
Address of premises.....................................................................................................….
Description of premises................................................................................................….
Dated this..........................................day of..................................................19………….
Signature of Applicant(s).
Form 2
LICENCE
.................................................................of....................................................................
(Name of Licensee(s)) (Address)
* is/are hereby licensed to use the premises described hereunder for the ¾
* 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;
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 ¾
Issued this.........................................day of......................................................19……….
Minister for Agriculture 2.
Form 3
APPLICATION FOR TRANSFER OF LICENCE
being the holder(s) of a licence to use the premises described hereunder, hereby apply for the transfer of that licence to.....................................................................................
licensed for the ¾
* 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;
Dated this..........................................day of...................................................19…………..
Fee................................................attached.
........................................................
Signature or Transferee(s).
Form 4
APPLICATION FOR VARIATION OF A LICENCE
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 ......................................................................................................................................
....................................................................................................................................…….
Dated this......................................day of….….….....................................19…….….……
Signature of Licensee(s).