Excise Act 1901

Sch 4 repealed by No 115 of 2000, s 3 and Sch 1 item 67, effective 7 September 2000. Sch 4 formerly read:

SCHEDULE IV

AUSTRALIA

The Excise Act 1901

REQUEST FOR REGISTRATION AS A DEALER

I HEREBY request you to register me, pursuant to the above Act, as a Dealer in (here set out kind of material).

Full name-

Address-

Occupation-

Situation of premises on which business is to be carried on-

Dated the day of 19     .

(Signature of Dealer)    

Witness-