Animal-dealer-licence-reptile-form-190385 docx - Department 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Applicant Details' section. Use BLOCK LETTERS to provide your title, surname, given name, middle name, date of birth, and contact information including daytime phone number and email.
3. In the 'Business Details' section, enter your business name, confirm if you are an existing pet shop operator, and provide your ABN number along with the street address and postcode.
4. For 'Premises Details', indicate how many premises you will use as an animal dealer. Fill in the street address for each premises and note that additional registration certificates require a separate attachment.
5. Complete the 'Supporting Evidence' section by providing necessary documentation as outlined in Attachment 1. This includes details about your knowledge of reptile husbandry and any previous licenses held.
6. Fill out the 'Payment' section with your credit card details or choose an alternative payment method. Ensure all fields are completed accurately.
7. Finally, review the 'Declaration' section carefully before signing and dating it to confirm that all information is true and correct.

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