Victorian Consolidated Regulations

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WILDLIFE (TOUR OPERATOR LICENCE FEE) REGULATIONS 2021 - SCHEDULE 1

Schedule 1

FORM 1

Regulations 9 and 14

TOUR OPERATOR TRIP RETURN


Licence No.:

Licence Holder:

Date

Location

Activity

No. of adults

x No.
of
days/
trips

A



x $XX
= Total

Total

No. of students/
children

x No.
of
days/
trips

Total

B



x $XX = Total

A + B totals = Use fee total







































































Use fee amount:

$

I certify that the records above are a true and correct account of all tours conducted on public land for the period:

Please tick     1 July–30 September     1 January–31 March

    1 October–31 December     1 April–30 June

Address of land management agency:

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