THE OF FISHERIES ACT – AQUARIUM TRADER D3/___________ LICENCE NO: ______________________ LICENCE HOLDER NAME (operator’s name): NIL RETURN _______________ ________ (tick, if appropriate): MONTH: YEAR: Species Purchased Quantity Maturity Licence Number or Trading Code Purchase Name of Supplier Value Species Name Common Name ($) official use only _____________________declare I that the information on this return is true and accurate. (print operator’s name) ______________________ ___/___/___ SIGNATURE OF LICENCE HOLDER: DATE: (operator’s signature)
THE OF – FISHERIES ACT AQUARIUM TRADER LICENCE NO: D3/___________ LICENCE HOLDER NAME (operator’s name): ______________________ MONTH: _______________ YEAR: ________ NIL RETURN (tick, if appropriate): Species Purchased Quantity Maturity Licence Number or Trading Name of Supplier Code Purchase Value ($) Species Name Common Name I _____________________declare that the information on this return is true and accurate. (print operator’s name) SIGNATURE OF LICENCE HOLDER: ______________________ DATE: ___/___/___ (operator’s signature) official use only
aquarium-trader-return-form.docx