Commonwealth Consolidated Regulations

DAIRY PRODUCE REGULATIONS 1986 - SCHEDULE 1

                                                      (regulation 8)

Form             

COMMONWEALTH OF AUSTRALIA

DAIRY PRODUCE REGULATIONS 1986

APPOINTMENT OF AUTHORISED AGENT

To the Secretary, Department of Agriculture, Fisheries and Forestry, Canberra

I, ( full name and address ) hereby appoint --
                    ( full name and address )

a specimen of whose signature appears below, to be my authorised agent for the purpose of signing on my behalf the declaration contained in any return that I am required to furnish to you under regulation 6 or 7 of the Dairy Produce Regulations 1986 .

Dated  

( Signature of person appointing authorised agent )

Authorised agent