Customs (Cinematograph Films) Regulations (Cth)

STATUTORY RULES.

1932. No. 24.

REGULATIONS UNDER THE CUSTOMS ACT 1901-1930.

I, THE DEPUTY OF THE GOVERNOR-GENERAL in and over the Commonwealth of Australia, acting with the advice of the Federal Executive Council, hereby make the following regulations under the CustomsAct 1901-1930 to come into operation forthwith.

Dated this third day of March, 1932.

(Sgd) Philip Game

Deputy of the Governor-General.

By His Excellency’s Command,

(Sgd.) J. A. PERKINS.

For Minister of State for Trade and Customs.

 

CUSTOMS (CINEMATOGRAPH FILMS) REGULATIONS.

Part I.—Preliminary.

Short title

1. These Regulations may be cited as the Customs (Cinematograph Films) Regulations.

Parts.

2. These Regulations are divided into Parts as follows:—

Part	I.	—Preliminary
Part	II.	—Importation of Films.
Part	III.	—Examination Before Censorship.
Part	IV.	—Exportation of Films.
Part	V.	—General.

3. The Customs (Cinematograph Films) Regulations (being Statutory Rules 1928, No. 132) are repealed.

Definitions

4. —(1.) In these Regulations, unless the contrary intention appears—

“Censor” or “ the Censor” means any censor appointed in pursuance of these Regulations, and includes the “Chief Censor”;

“Film” means cinematograph film, and includes any positive, negative and any reconstruction thereof.

(2.) Any reference in these Regulations to a form shall be read as a reference to a form in the Schedule to these Regulations.

659.—Price 8d.

 

Censorship Board and Appeal Censor.

5. —(l.) For the purposes of these Regulations, there shall be a Censorship Board and an Appeal Censor.

(2.) There shall be three members of the Censorship Board, consisting of the Chief Censor and two other Censors, who shall be appointed by the Governor-General and one of whom shall be a woman.

(3.) There shall be an Appeal Censor who shall be appointed by the Governor-General.

(4.) The members of the Censorship Board and the Appeal Censor shall hold office for such periods, not exceeding three years, as the Governor-General determines, but shall be eligible for re-appointment.

(5.) Each of the members of the Censorship Board, not being an officer of the Commonwealth Public Service, and the Appeal Censor shall receive such fees and such travelling allowances as the Governor-General determines.

(6.) A member of the Censorship Board or the Appeal Censor may be removed from office by the Governor-General for misbehaviour or incapacity.

Illness or suspension of Chairman, Member, or Appeal Censor.

6. In case of the illness or absence of the Chief Censor or any other member of the Censorship Board or of the Appeal Censor, the Governor General may appoint another person to act as Chief Censor, member, or Appeal Censor, as the case may be, during such illness or absence and that person shall, while so acting, have all the powers and perform all the duties of the Chief Censor, member, or Appeal Censor as the case may be:

Provided that no act or proceeding of the Censorship Baard shall be invalidated or prejudiced by reason of there being, at the time when the act or proceeding was done, taken or commenced, a vacancy in the membership of such Board.

Quorum and voting.

7. —(1.) For the conduct of the business of the Censorship Boards any two members shall form a quorum.

(2.) At a meeting of the Censorship Board, the decision of the majority shall prevail.

(3.) The Chief Censor shall have a deliberative, but not a casting, vote.

(4.) Where, at any meeting of the Censorship Board at which one of the members is not present the members present are divided in opinion upon any question, the determination of that question shall be postponed until a meeting at which all the members are present.

Board may not be sued.

8. No action or suit shall be brought or maintained against any person who is or has been a member of the Censorship Board or occupies or has occupied the position of Appeal Censor for any act or omission in connexion with his duties.

Appeals.

9. —(1.) An appeal shall lie to the Appeal Censor from any decision of the Censorship Board in any matter arising under these Regulations.

(2.) The appeal may be made not later than fourteen days after the date of the notification to the importer of the decision from which the appeal is made and shall be in accordance with Form 10. The appellant shall set out in writing the grounds of his appeal.

 

(3.) The appellant shall with the appeal deposit a sum of Three guineas. The deposit shall not be returned to the appellant unless in the opinion of the Appeal Censor the appeal is completely or substantially upheld.

(4.) The Appeal Censor shall arrange the times and dates for the hearing of appeals. Not less than twenty-four hours’ notice shall be given to the appellant of the times and dates of hearing of such appeals.

(5.) The appellant shall have the right to be present at a screening before the Appeal Censor.

(6.) On the hearing of the appeal, the Appeal Censor may with or without conditions, allow the appeal or disallow the appeal, or may direct the Censorship Board to refuse to register the film.

(7.) The Chief Censor shall give effect to the decision of the Appeal Censor.

Submission to Minister.

10. The decision of the Appeal Censor shall be final:

Provided that the Minister may at any stage of the proceedings under these Regulations direct that the matter be submitted to him for determination in which case such action shall be taken as the Minister directs.

Part II.—Importation of Films.

Registration of Films.

11. No film shall be delivered from Customs control until it has been registered in accordance with the provisions of these Regulations and authority for its delivery has been given by the Censor.

Form of application.

12. Every application for the registration of a film shall be in accordance with Form 1.

Power of Censor in regard to applications for registration.

13. —(1.) The Censorship Board shall examine each application received for the registration of a film, and may, subject to these Regulations—

(a) register the film subject to the conditions imposed by these Regulations, in which case acertificate in accordance with Form 2 shall be issued;

(b) register the film subject to the conditions imposed by these Regulations and any special conditions which the Censorship Board thinks fit to impose, in which case a certificate of registration in accordance with Form 3 shall be issued; or

(c) refuse to register the film, in which case a certificate in accordance with Form 4 shall be issued.

(2.) The Chief Censor shall give effect to every decision of the Censorship Board.

Bars to registration.

14. No film shall be registered which, in the opinion of the Censorship Board, or on appeal, in the opinion of the Appeal Censor—

(a) is blasphemous, indecent or obscene;

(b)is likely to be injurious to morality, or to encourage or incite to crime;

(c) is likely to be offensive to the people of any friendly nation;

(d) is likely to be offensive to the people of the British Empire; or

(e) depicts any matter the exhibition of which is undesirable in the public interest.

 

Security may be required.

15. The Comptroller may require any importer to furnish a general security in accordance with Form 5.

Continuance of certificate granted under repealed regulations.

16. Any certificate of registration issued under any regulations in force prior to the commencement of these Regulations shall be deemed to be a certificate of registration issued under these Regulations.

Reconstruction of rejected films.

17. —(1.) Where a film has been refused registration under these Regulations or under any regulations in force prior to the commencement of these Regulations, the importer may within fourteen days, or such further time as the Chief Censor in special circumstances allows, after the date of the certificate of refusal, apply to the Chief Censor, in accordance with Form 6, for permission to reconstruct the film and to submit it to the Censorship Board for review.

(2.) If an appeal is made to the Appeal Censor against the refusal of the Censorship Board to register a film and if the appeal is disallowed, an application to the Chief Censor in accordance with Form 6 for permission to reconstruct the film may be made within fourteen days, or such further time as the Chief Censor in special circumstances allows, after the date of the notification of the decision of the Appeal Censor.

(3.) Application for permission to reconstruct a film shall be accompanied by a plan setting out in detail the grounds upon which it is claimed reconstruction should be permitted and enumerating any proposed alterations, deletions or additions.

(4.) The Chief Censor may approve or disapprove of any plan of reconstruction submitted to him or so alter or amend it as he deems fit.

(5) The Censorship Board may, subject to these Regulations, register the film as reconstructed, in which case the appropriate certificate in accordance with Form 2 or Form 3 shall be issued, or may refuse to register the film, in which case a certificate in accordance with Form 4 shall be issued.

(6.) Delivery of a film for the purpose of reconstruction shall not be granted unless the importer gives security to the satisfaction of the Comptroller for the observance of the following conditions:-

(a) that no person other than the importer and four bona fide representatives of the importer shall be permitted to be present at any screening of the film;

(b) that all eliminated matter will be properly tagged, described and forwarded with the film to such office of the Censorship Board as is directed by the Censor;

(c) that within fourteen days after the date of delivery the portion of the film remaining after elimination will be returned to the control of the Customs at the licensed warehouse or station from which it was removed for reconstruction.

(7.) One positive print of all matter eliminated from a film shall be filed at the office of the Censorship Board and may be subsequently dealt with as the Comptroller may direct. The remainder of such matter may be re-exported or destroyed under the supervision of the Customs.

 

Rejected films to be exported or destroyed.

18. Where registration of a film is refused, the importer shall, unless the Minister has directed that the matter be referred to him, within twenty-eight days after the date on which registration was finally refused in accordance with these Regulations, export the film or destroy it under Customs supervision.

Re-importation of rejected films.

19. When a film has been refused registration and has been exported from Australia, such film, or any modification thereof shall, unless permission has previously been granted by the Chief Censor for its reconstruction abroad, be seized on re-importation as a prohibited import.

Screening.

20. —(1.) Any film submitted for registration shall, whenever so required by a Censor, be screened for inspection.

(2.) The screening shall be carried out at the risk of the importer.

(3.) The screening of films at an office of the Censorship Board for any purposes other than in pursuance of sub-regulation (1.) of this regulation or for the purpose of regulation 17 of these Regulations may be permitted by the Censor at such time and subject to such conditions as he thinks fit upon payment in advance of a fee of two shillings and sixpence for each reel of film.

(4.) At any screening required or permitted by the Censor under this regulation, the importer and not more than four bona fide representatives of the importer may be present.

Advertising matter subject to censorship.

21. —(1.) One copy of each piece of advertising matter which it is intended to import and use in the Commonwealth in connexion with the exhibition of films shall, before the importation of that advertising matter, be deposited with the Censorship Board.

(2.) The Censorship Board may pass the copy so submitted, and if the advertising matter is passed by the Censorship Board for importation the copy deposited may be retained by the Board.

(3.) The Censorship Board may approve of the importation of advertising matter subject to the importer giving security, to the satisfaction of the Comptroller, that it will not be used in any form other than the form in which it was passed for importation, and will be used without any direct or indirect addition thereto or comment thereon, unless the consent in writing of the Censorship Board has first been obtained.

(4.) When any advertising matter is rejected by the Censorship Board or, on appeal, by the Appeal Censor, the importer shall within twenty-eight days after final rejection export the advertising matter from Australia or destroy it under Customs supervision.

(5.) The provisions of regulations 9 and 10 shall apply mutatis mutandis to appeals relating to advertising matter.

(6.) In this regulation “advertising matter” includes posters, photographs, sketches, programmes, slides and other advertising matter intended for use in connexion with the exhibition of films.

 

Part III.—Examination before Censorship

Examination before censorship.

22. —(1.) An importer of a film may, subject to the approval of the Minister and before the film is presented for censorship, take delivery of the film for the purpose of inspection or making alterations to or eliminations from the film, subject to the following conditions being complied with:—

(a) Application for registration of the film shall be made in accordance with Form 1;

(b) A Security in accordance with Form 11 shall be entered into in the sum of £500 for the observance of the conditions set out in this regulation;

(c) The full amount of duty payable on any film so taken shall be deposited with the Collector of Customs;

(d) The film (including any excisions made therefrom) and the whole of any positive or negative printed therefrom or from any portion thereof shall be delivered to the office of the Censorship Board within seven days, exclusive of Sundays and public holidays, from the time of delivery to the importer;

(e) At any screening of the film while in the possession of the importer under this regulation, no person shall be present other than the importer and not more than four of his bona fide representatives;

(f) Not morethan one positive shall be printed from any negative or soft positive and no film or portion of a film shall be otherwise printed from, reproduced or copied prior to being approved and registered by the Chief Censor;

(g) All eliminated matter shall be properly tagged, described and delivered to the office of the Censorship Board with the film when it is presented for censorship purposes.

(2.) In any case where delivery is not taken of a film under the last preceding sub-regulation, the importer may arrange for the screening of the film at the office of the Censorship Board on payment of the screening fee specified in regulation 20 and, subject to censorship supervision, make, on such premises, any eliminations desired.

Part IV.—Exportation of Films Produced in Australia.

Application to export.

23. Every application for permission to export a film produced in Australia shall be in accordance with Form 7.

Examinationby Censor.

24. —(1.) The Censorship Board shall examine each application received for permission to export a film, and may, subject to these Regulations—

(a) approve of the exportation of the film either with or without conditions, in which case an export permit in accordance with Form 8 shall be issued ; or

(b) refuse to approve of the exportation of the film, in which case a certificate in accordance with Form 9 shall be issued.

 

(2.) The Chief Censor shall give effect to every decision of the Censorship Board.

(3.) An appeal shall lie from the decision of the Censorship Board to the Appeal Censor and the provisions of regulations 9 and 10 shall apply mutatis mutandis to any such appeal.

Export prohibited in certain cases.

25. No film shall be permitted to be exported which in the opinion of the Censorship Board or, on appeal, in the opinion of the Appeal Censor—

(a) is blasphemous, indecent or obscene;

(b) is likely to be injurious to morality, or to encourage or incite to crime;

(c) is likely to be offensive to the people of any friendly nation;

(d) is likely to be offensive to the people of the British Empire; or

(e) depicts any matter the exhibition of which is undesirable in the public interest or is likely to prove detrimental or prejudicial to the Commonwealth of Australia.

Delivery of export permit.

26. The export permit issued under paragraph (a) of sub-regulation (1.) of regulation 24 shall be delivered by the exporter to the officer of Customs at the export ship or Parcels Post at the time the film is brought to the wharf or Parcels Post for shipment, but, when a film is transferred from one port to another for export the export permit shall be forwarded immediately by the exporter to the Collector of Customs at the port of shipment.

Packing, &c., of films.

27. The Collector may require any film, in respect of which an export permit has been issued, to be so packed or marked as to make it readily identifiable with the export permit.

Screening of films.

28. A Censor may require any film in respect of which application for permission to export has been made, to be screened for inspection, and the screening shall be carried out at the risk of the exporter.

Part V.—General.

Forms under repealed regulations.

29. In cases where the forms required by any regulations repealed by these Regulations differ from those prescribed by these Regulations, the Comptroller may permit the continuance of the use of the first mentioned forms for such time as he considers desirable.

Substantial compliance with forms.

30. The Comptroller may accept, in lieu of any prescribed form, any document which is substantially in accordance with the prescribed form, and the document so accepted shall have all the force and effect of a document in the prescribed form.

   

THE SCHEDULE.

 

FORM 1.

Regs. 12 and 22.

Commonwealth of Australia.

Customs (Cinematograph Films) Regulations.

APPLICATION FOR THE REGISTRATION OF A FILM.

19 

The Censorship Board.

Application is hereby made for the registration under the Customs (Cinematograph Films) Regulations of the undermentioned Film:—

Title of film— Name of producer— Class of film— Country of origin— No. of reels— No. of copies being imported into Australia— No. of feet—
*Ex. s.s.— *Ex. Parcel Post
*I forward herewith *I undertake to supply prior to delivery	a synopsis specifying all the scenes contained in the film.

I undertake in consideration of the registration of the film and its admission into the Commonwealth that I will comply with the provisions of the Customs (Cinematograph Films) Regulations.

Owner or Agent.

*Strike out the words which do not apply.

 

Certificate No.

Form 2.

Regs. 13 and 17.

Commonwealth of Australia.

Customs (Cinematograph Films) Regulations.

CERTIFICATE OF REGISTRATION.

The film length reels produced by and imported by  has been approved and registered for general exhibition subject to the conditions imposed by the Customs (Cinematograph Films) Regulations.

Dated at this day of 19 .

Chief Censor.

Certificate No.

Form 3.

Regs. 3 and 17.

Commonwealth of Australia

Customs (Cinematograph Films) Regulations.

CERTIFICATE OF REGISTRATION.

The film length reels produced by and imported by  has been approved and registered for exhibition subject to the following conditions, which shall apply to any exhibition of the film in Australia, whether by the original importer, subsequent purchaser, or any other person exhibiting the film, namely:—

1. That the provisions of the Customs (Cinematograph Films) Regulations shall be observed;

2. That the film shall be exhibited exactly in the form and under the name in which it is registered without any alteration or addition unless the consent in writing of the Censorship Board is first obtained;

3. That the advertising matter used in connexion with the film, whether by the importer, subsequent purchaser, or any other person, shall not refer, directly or indirectly, to any scene, episode, or wording deleted from the film by the Censorship Board or not included in the film as passed for importation, and shall not be indecent, obscene, or injurious to public morality.

(Here insert any other special conditions imposed by the Censorship Board [or the Appeal Censor].)

Dated at	this	day of	19
To ..........................................
............................................
Chief Censor.

 

Certificate No.

Form 4.

Regs. 13 and 17.

Commonwealth of. Australia.

Customs (Cinematograph Films) Regulations.

CERTIFICATE OF REFUSAL TO REGISTER.

Take notice that registration is refused in respect of the film   length  reels produced by  and specified in your application for registration dated

Dated at	this	day of	19
To ................................................
..................................................
Chief Censor.

   

Form 5. Reg. 15.

Commonwealth of Australia.

Customs (Cinematograph Films) Regulations.

SECURITY TO THE CUSTOMS.

By this security the subscribers are, pursuant to the Customs Act 1901-1930, bound to the Customs of the Commonwealth of Australia in the sum of subject only to this condition, that if—

I. In the event of delivery being given to the importer of any film under Customs seal for the purpose of forwarding it to an office of the Censorship Board—

(а) the film is forthwith forwarded to such office of the Censorship Board as the Comptroller or the Censor directs; and

(b) after the film has been handed back to the importer or his representative by the Censorship Board unless it has been duly released from the control of the Customs, it is forthwith returned to the control of the Customs at the licensed warehouse orstation whence it was removed for the aforesaid purpose and in the same condition as when handed back by the Censorship Board to the importer or his representative; and

II. In the event of delivery being given to the importer of any film for the purpose of reconstruction by the importer—

(а) no person is permitted to be present at any screening of the film except the following, namely—the importer and/or not more than four bona fide representatives of the importer and representatives of the Censorship Board;

(b) all eliminated matter is properly tagged, described, and forwarded with the film to such office of the Censorship Board as is directed by the Censor; and

(c) within fourteen days after the date of delivery, the portion of the film remaining after elimination is returned to the control of the Customs at the licensed warehouse or station from which it was removed for reconstruction; and

III. In the event of delivery being given to the importer of any film under Customs seal for the purpose of forwarding it to a factory for treatment or repair, or, if the film is a negative, for printing therefrom—

(a) the importer prior to delivery of the film gives at least twenty-four hours’ notice to the Collector of Customs for the State in which the factory is situate of the exact address of the factory;

(b) the film is within twenty-four hours from the time of delivery forwarded to the factory;

(c) the film is treated or repaired, or, if the film is a negative, is used for printing, by the processes of the factory, under the supervision of a Customs officer, within forty- eight, hours, or such further time as the Collector allows, from the time of delivery to the factory;

(d) the film is dealt with in all matters to the satisfaction of the Comptroller; and

(e) the film or where a negative film has been delivered for printing, the negative film and the resultant positive film or films are, within twenty-four hours after treatment, repair or printing, returned to the control of the Customs at the licensed warehouse or station from which delivery was made; and

IV. In the event of the importation of any film being permitted, with or without conditions—

(a) the film (including its title) is not afterwards exhibited by the importer, subsequent purchaser, or any other person in any form other than that in which the importation waspermitted, unless the consent in writing of the Censorship Board has first been obtained;

(b)the advertising matter used in connexion with the film, whether by the importer, subsequent purchaser, or any other person, does not refer, directly or indirectly, to any scene, episode, or wording deleted by the Censorship Board, or which was not included in the film as passed for importation, and is not indecent, obscene, or injurious to public morality; and

 

(c) all conditions imposed by the Minister or the Censorship Board or the Appeal Censor in regard to the film or the advertising matter in connexion therewith are strictly observed; and

V. In the event of the importation being permitted of any advertising matter for use in connexion with films, the advertising matter is not used in any form other than the form in which it was passed for importation by the Censorship Board and is used without any direct or indirect addition thereto or comment thereon to which the consent in writing of the Censorship Board has not first been obtained;

then this security shall be thereby discharged.

Dated at		this	day of			19
Names and descriptions of subscribers:-	Signatures of subscribers:		Signatures of witnesses:
…………………………….	…………………………….		…………………………….
…………………………….	…………………………….		…………………………….
…………………………….	…………………………….		…………………………….

 

Form 6.

Reg. 17.

Commonwealth of Australia.

Customs (Cinematograph Films) Regulations.

APPLICATION FOR PERMISSION TO RECONSTRUCT A FILM.

19 .

The Chief Censor,

Application is hereby made for permission to reconstruct the film   length  reels produced by and refused registration under certificate No. , dated .

A detailed plan of reconstruction is attached and in submitting this application it is distinctly understood that permission to reconstruct, if granted, does not imply that registration will be granted.

Owner or Agent.

 

Form 7.

Reg. 23.

Commonwealth of Australia.

Customs (Cinematograph Films) Regulations.

APPLICATION FOR PERMISSION TO EXPORT A FILM PRODUCED IN AUSTRALIA.

The Censorship Board.

Application is hereby made for permission to export under the Customs (Cinematograph Films) Regulations the under mentioned film:—

Title of film—

Name of producer—

Class of film—

No. of reels—

Length—

No. of copies to be now exported—

Export ship—

Port of destination—

Addressee—

I certify that the film, in whole or in part, is not—

(a) blasphemous, indecent or obscene;

(b) likely to be injurious to morality, or to encourage or incite to crime;

(c) likely to be offensive to the people of the British Empire, or to the people of any friendly nation; or

(d) undesirable in the public interest, or likely to prove detrimental or prejudicial to the Commonwealth of Australia.

Owner or Agent.

Form 8.

Reg. 24.

Permit No.

Commonwealth of Australia.

Customs (Cinematograph Films) Regulations.

19 .

EXPORT PERMIT.

State of—

Port of—

To the Officer of Customs,

The provisions of the Customs (Cinematograph Films) Regulations have been complied with in respect of the undermentioned film which may be shipped per for 

Marks. Exporter. Film. No of Reels. Feet.

Chief Censor.

Shipped the above film.

Officer of Customs.

Date— 19 .

Note.—This form is to be issued in duplicate by the Censor, and both original and duplicate must be delivered by the exporter to the Customs officer at the export ship or Parcels Post at the time the film is brought for shipment. The original is to be returned by the Customs officer, after shipment of the film, to the Censorship Board at and the duplicate retained with the ship’s papers.

 

Form 9.

Reg. 24.

Commonwealth of Australia.

Customs (Cinematograph Films) Regulations.

CERTIFICATE OF REFUSAL TO ISSUE EXPORT PERMIT.

Take notice that an export permit is refused in respect of the film.............................................

.................. length....................... reels.................................. produced by........... and specified in

your application for an export permit dated ........................ day of...................... 19......

Dated at................................ this................................. day of............... 19...

To...........................................

............................................

…………………………

Chief Censor.

 

Form 10.

Reg. 9.

Customs (Cinematograph Films) Regulations.

NOTICE OF APPEAL.

The Appeal Censor,

I hereby appeal against the decision of the Censorship Board referring to the film.......................

................................ with regard, to—

Strike out clauses not applicable.

(а) Registration.

(b) Exportation.

(c) Reconstruction.

(d) Advertising matter.

The grounds of: the appeal are as follows:—

I forward herewith the sum of Three guineas subject to the conditions of the Regulations.

 Owner or Agent.

Date................................

DECISION OF APPEAL CENSOR.

Strike out clause not applicable.

Deposit to be retained.

Deposit to be returned to appellant.

 Appeal Censor.

Date..................

   

Form 11.

Reg. 22.

Customs (Cinematograph Films)Regulations.

SECURITY TO THE CUSTOMS (PRE-CENSORSHIP PRIVILEGES).

By this Security the subscribers are, pursuant to the Customs Act 1901-1930, bound to the Customs of the Commonwealth of Australia in the sum of Five hundred pounds, subject only to this condition, that if—

In the event of delivery being given to (a) ............................................................................  of (b) (hereinafter referred to as the importer) of any film for the purposes of inspection or of making such alterations to or eliminations from the film as he may desire—

(a) the full amount of duty payable on any film so delivered is deposited with the Collector of Customs;

(b) the film (including any excisions made therefrom) and the whole of any positive or negative printed from such film or from any portion thereof are delivered to the office of the Censorship Board within seven days, exclusive of Sundays and public holidays, from the time of delivery to the importer;

(c) not more than one positive is printed from any negative or soft positive and no film or portion of a film is otherwise printed from, reproduced or copied prior to being approved and registered by the Chief Censor;

(d) at any screening of the film while in the possession of the importer no person is present other than the importer and not more than four of his bona fide representatives;

(e) all eliminated matter is properly tagged, described and delivered to the office of the Censorship Board with the film when it is presented for censorship purposes;

then this security shall be thereby discharged.

Dated at		this	day of			19 .
Names and descriptions of subscribers:	Signatures of subscribers:		Signatures of witnesses:
..........................................	..........................................		..........................................
..........................................	..........................................		..........................................
..........................................	..........................................		..........................................

(a)Insert name of Importer.

(b) Insert address of Importer.

 

By Authority: H. J. Green, Government Printer, Canberra.