THE OF FISHERIES ACT – AQUARIUM FISHING/DISPLAY FISHERY LICENCE NAME OF LICENCE HOLDER NO: MONTH:_______________ YEAR:___________ A12/__________________ (operator’s IN STOCK OUT PURCHASE SALES NIL RETURN NIL RETURN Total Total Species Quantity Licence Number or Code Quantity Licence Number or Code Value Value Trading Name of Supplier Trading Name of Customer ($) ($) Official Use Only I __________________________________________ declare 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 FISHING/DISPLAY FISHERY LICENCE NAME OF LICENCE HOLDER (operator’s NO: A12/__________________ MONTH:_______________ YEAR:___________ Species IN STOCK OUT PURCHASE NIL RETURN SALES NIL RETURN Quantity Licence Number or Trading Name of Supplier Code Total Value ($) Quantity Licence Number or Trading Name of Customer Code Total Value ($) Official Use Only I __________________________________________ (print operator’s name) declare that the information on this return is true and accurate. SIGNATURE OF LICENCE HOLDER (operator’s signature): _________________________________________ DATE: _______/______/_______
aquarium-fishing-display-return-form-part-c.docx