I, the registered owner of the following brand, request to have the branding position/s changed, my details are as shown below. Brand Registered in the name/s of: Three-Letter Brand: Distinctive Brand: Earmark: Registered for Use on: Current Branding Positions: Cattle: NEW Branding Positions: Cattle: Horses: Postal Address: Telephone: Fax: Mobile: Email: Signature: Registered Owner Of Brand Print Name: Registered Owner Of Brand I am returning the Original Certificate/s Three-letter Brand Cert, Earmark Cert, Distinctive – (symbol) Cert, Transfer Cert (please cross out which is not applicable) to Registrar of Brands for changes. Once certificate/s are amended they will be returned to you for safekeeping. Note: All original Certificates must be amended - Do not send photocopies. Original Certificates enclosed: B E DB TB Other: OR if original cert/s LOST – The Original Certificate/s have been lost/misplaced Three-letter Brand Cert, Earmark Cert, – Distinctive (symbol) Cert, Transfer Cert (cross out which is not applicable). Please issue me with a replacement Certificate at a cost of $59. RTM Receipt / Tax Invoice - Description * is – Issue Replacement Certificate (only if original/s lost) Note: Fees subject to change 1st July each year $59 CHEQUE Please charge my Credit Card $59 attached (made payable to RTM) _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _ _ _ / _ _ Debit my B/CARD / M/CARD / VISA Expires: Name: Signature: (as stated on Credit Card) Office Use: LISA / Brands, BAW, DPIR Cost Code: 925 BCN 03 D 131111 N00 = no GST – Livestock Identification Systems Administrator (LISA) / Brands Adele Kluth | Ph: 08 8999 2033 | E-mail: adele.kluth@nt.gov.au Postal: GPO Box 3000, Darwin NT 0801 Website: NT Brands Register Search Database
I, the registered owner of the following brand, request to have the branding position/s changed, my details are as shown below. Brand Registered in the name/s of: Three-Letter Brand: Distinctive Brand: Earmark: Registered for Use on: Current Branding Positions: Cattle: NEW Branding Positions: Cattle: Horses: Postal Address: Telephone: Fax: Mobile: Email: Signature: Registered Owner Of Brand Print Name: Registered Owner Of Brand I am returning the Original Certificate/s – Three-letter Brand Cert, Earmark Cert, Distinctive (symbol) Cert, Transfer Cert (please cross out which is not applicable) to Registrar of Brands for changes. Once certificate/s are amended they will be returned to you for safekeeping. Note: All original Certificates must be amended - Do not send photocopies. Original Certificates enclosed: B E DB TB Other: OR – if original cert/s LOST The Original Certificate/s have been lost/misplaced – Three-letter Brand Cert, Earmark Cert, Distinctive (symbol) Cert, Transfer Cert (cross out which is not applicable). Please issue me with a replacement Certificate at a cost of $59. RTM – Receipt / Tax Invoice - Description * is Issue Replacement Certificate (only if original/s lost) Note: Fees subject to change 1st July each year $59 CHEQUE attached (made payable to RTM) Please charge my Credit Card $59 Debit my B/CARD / M/CARD / VISA _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _ Expires: _ _ / _ _ Name: Signature: (as stated on Credit Card) Office Use: LISA / Brands, BAW, DPIR – Cost Code: 925 BCN 03 D 131111 N00 = no GST Livestock Identification Systems Administrator (LISA) / Brands Adele Kluth | Ph: 08 8999 2033 | E-mail: adele.kluth@nt.gov.au Postal: GPO Box 3000, Darwin NT 0801 Website: NT Brands Register Search Database