Application for transfer of apparatus licence(s)

(In accordance with section 131AA of the Radiocommunications Act 1992)

Instructions for completion

• Print clearly. Forms which are illegible, unclear or incomplete details may be returned for clarification.

Note:

• Information provided by the applicant that is marked with an asterisk (*) is required, by section 147 of the Radiocommunications Act 1992, to be disclosed to the public by the ACMA in a Register of Radiocommunications Licences. The Register is available for inspection at any ACMA office and on its website.
• Licences exempt from licence fees may only be transferred to similarly exempt persons or bodies.
• Persons granted licence fee concession may only transfer a licence to persons eligible for licence fee concession or exemption.

Where to send this form:

• Completed form(s) signed by authorised representative(s) should be sent by email to info@acma.gov.au or by mail to:

  Customer Service Centre

Australian Communications and Media Authority

PO Box 78

Belconnen ACT 2616

• The transfer fee of $51 will be sent by invoice when the licence transfer has been completed.
• If you have enquiries, email the ACMA Customer Service Centre on info@acma.gov.au or call 1300 850 115.

Current licensee’s (seller) details

Client number

Name (or contact name if an organisation)

Organisation name (if applicable)

ACN number (if applicable) ABN number (if applicable)

Trading name (if applicable)

Postal address

Residential or business address

Contact details

Are you currently exempt from payment of licence fees?

Do you currently qualify for a licence fee concession?

Details of licence(s) to be transferred

Current licensee’s declaration

I agree to the transfer of the licence(s) listed above and declare that the information provided in this application, and in accompanying documents, is true and correct in every detail.

Proposed licensee (buyer) details

Do you hold a radiocommunications licence?

If yes, insert client number

Name* (complete only if transferee is not an organisation)

Organisation name* (if applicable)

ACN number* (if applicable) ABN number (if applicable)

Trading name* (if applicable)

Postal address*

Name of person representing the organisation

Residential or business address

Contact details

Are you currently exempt from payment of licence fees?

Do you currently qualify for a licence fee concession?

Qualifications (for maritime ship and amateur licences only)

New client information—please complete if you are a new client

Client type

Government clients:

• Commonwealth department
• Other Commonwealth agency
• State government
• Local government

_Private sector clients:

• Company
• Community/volunteer group
• Person aged 18 years and over
• Person aged under 18 years

Industry—tick which describes your primary function:

• Agriculture
• Communication services
• Construction
• Education
• Electricity/gas/water supply
• Government
• Health Services
• Mining
• Manufacturing
• Recreational and amateur activities
• Safety services
• Transport and storage
• Wholesale/retail trade
• Other:

Proposed licensee’s (transferee’s) declaration

I agree to the transfer of the listed licences from the current licensee and I declare that the information provided by me in this application, and in accompanying documents, is true and correct in every detail and that equipment to be employed meets all relevant standards made by the ACMA.

Name of proposed licensee

Details of payment

The transfer fee of $51 will be sent by invoice when the licence transfer has been completed.

Please indicate who is paying this fee:

• current licensee (seller)
• proposed licensee (buyer).