(regulation 8)
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