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LICENCES
AUTHORISATIONS
TESTS
HOUNDS / PUPS
EDUCATION
OWNER DETAILS
NEW OWNER DETAILS
Full Name
*
*
*
First Name
Last Name
Gender
Male
Female
Other
Mobile
*
Date of Birth
*
Phone
*
Email
*
*
Address
Address line 1
Address line 2
Address line 3
City
State/Province
ZIP/Postal code
Country/Region
Postal Address
Address line 1
Address line 2
Address line 3
City
State/Province
ZIP/Postal code
Country/Region
Use Residential Address as Postal Address
Use Residential Address as Postal Address
No
Use Residential Address as Postal Address
Yes
Postal Address
Select Country
Australia
Street Address or PO Box/RMB No
*
Address Line2
Address Line3
Suburb
*
State
*
Postcode
*
Applicant's declaration:
I hereby declare that all the details provided by me in this application are true and correct. I acknowledge there are heavy penalties for providing false or misleading information.
Contact does not exist with these details
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Please enter your email address in format : yourname@example.com
Age should be greater than or equal 12
All fields of owner details are required
Enter 10-13 digits for Phone Number
Enter 10-13 digits for Mobile Number
Last Name must be start with a letter
First Name must be start with a letter
Please Enter required fields
Please Enter valid Postal state(VIC, NSW , TAS, ACT , NT, WA, SA, QLD)
HOUND DETAILS
Microchip No
*
Microchip Number is Required
You are the current owner for this hound
There is no hound with this Microchip Number
Microchip Number length should be of 15 digits
Microchip Number should start with 9 only
Licence DETAILS
Name
*
*
Portal transaction ID
Transaction Type
Deactivate Account
Re-Print Renewal Notice
New licence application
New authorisation application
Amend licence
Renew licence
Card replacement
New Hog Deer Tag request
Hog Deer Tag return form
Hog Deer Tag replacement
Transfer hound ownership
New Hound Registration
New Pups Authorisation
Re-print hound registration
Re-print pups authorisation
Cancel Hound Registration
New game bird farmer application
Update Personal Details
Pay PendingInvoice Amount
Concession applied?
Concession applied?
No
Concession applied?
Yes
JSON
*
Pre-paid on
*
Title
*
First Name
*
Middle Name
*
Last Name
*
Gender
Male
Female
Other
Date of Birth
*
Email
*
*
Phone
*
Mobile
*
Residential_Line1
*
Residential_Line2
*
Residential_Line3
*
Residential_City
*
Residential_Postal Code
*
Residential_State/Proivince
*
Residential_Country
*
Use Residential Address as Postal Address
Use Residential Address as Postal Address
No
Use Residential Address as Postal Address
Yes
Postal_Line1
*
Postal_Line2
*
Postal_Line3
*
Postal_City
*
Postal_Province/State
*
Postal_PostalCode
*
Postal_Country
*
Attach File
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