CEO Instrument of Approval No. 1 of 2011 (Cth)
COMMONWEALTH OF AUSTRALIA
CEO INSTRUMENT OF APPROVAL No. 1 of 2011
CUSTOMS ACT 1901
I, MICHAEL JOSEPH CARMODY, Chief Executive Officer of Customs, under section 4A and subsections 119AA(3), 119AA(3A) 119AB(2) and 119AB (3) of the Customs Act 1901 (the Act), approve the attached “APPLICATION FOR PERMISSION TO MOVE, ALTER OR INTERFERE WITH EXPORT GOODS UNDER CUSTOMS CONTROL” (No. B961 (Nov 2011)) as an approved form and an approved statement for the purposes of applying to Customs, by document and electronically, for permission to move, alter or interfere with goods in accordance with sections 119AA and 119AB of the Act.
Instrument of Approval No. 15 of 2004 is revoked.
This instrument commences on the commencement of Schedules 1 and 2 to the Customs Amendment (Export Controls and Other Measures) Act 2011.
Dated: 21 November 2011
MICHAEL JOSEPH CARMODY
Chief Executive Officer of Customs
APPLICATION FOR PERMISSION TO MOVE, ALTER OR INTERFERE WITH EXPORT GOODS UNDER CUSTOMS CONTROL
Approved Form and Approved Statement – Customs Act 1901 Sections 119AA and 119AB
NOTICE - We require this information under the Customs Act 1901, so we can ensure that your goods may be lawfully moved, altered or interfered with.
| 1. Applicant’s Name | 2. Applicant’s Relationship to the Goods | |
| 3. Applicant’s CCID / ABN | 4. Location of Goods | |
| 5. ABN or CCID of person who will physically move, alter or interfere the goods (if different from 3) | ||
| 6. Reason why movement, alteration or interference is required | ||
| 7. Export Declaration Number (EDN) of the goods | 8. Has the EDN been withdrawn or ATD been cancelled or suspended? Yes / No | 9. Submanifest number (which applies to that consolidation if any) |
| 10. Destination Address (If the goods are being moved) Include Establishment ID if Prescribed Warehouse Goods. | ||
| 11. Container / MAWB Number | 12. Name of Export Vessel / Flight | |
DECLARATION
I declare that the above information provided is correct to the best of my knowledge and belief. The goods will not be moved, altered or interfered with until a decision is made on the application.
Name of Person making the declaration
Name of Company
Contact Phone Number
Contact Fax Number Applicant’s Email Address
Applicant’s Signature
(type name for electronic signature)
Date
CUSTOMS AND BORDER PROTECTION USE ONLY
Customs Reference Number
Approved / Not Approved Reasons for Refusal
Conditions Customs Officer Name
Title
Position Number
CUSTOMS AND BORDER PROTECTION USE ONLY
WHERE ALL SECTIONS OF THIS FORM HAVE BEEN COMPLETED, THE APPLICATION SHOULD BE LODGED IN THE REGION WHERE THE GOODS ARE LOCATED (EMAILED TO THE NOMINATED CUSTOMS AND BORDER PROTECTION MAILBOX – REFER FACTSHEET LEGISLATIVE CHANGES TO EXPORT CONTROLS)
B959 (Nov 2011)
0
0
0