Required fields are marked with an asterisk (*).
Date
Property name / holding (eg. Smith farm, Smith block, Smith Springs, Smith Pastures)
Land details * (pastoral lease # / NT portion # / section # / hundred of etc / street address)
Land owner's name (person/s)
or if owned by a company
ACN or ABN
Director/s
Land owner's postal address
Work phone
Home phone
Mobile
Fax
Email
Property manager's name
Property manager's postal address
Property manager's mobile
Property manager's phone
Property manager's fax
Property manager's email
Real estate agent's name
Real estate agent's postal address
Real estate agent's phone
Real estate agent’s email
Tenant/Renter’s name
Tenant/Renter’s postal address
Tenant/Renter’s mobile
Tenant/Renter’s email
Alpacas
Buffalo
Camels
Crocodiles
Deer
Goats
Horses (includes donkeys and mules)
Llamas
Pigeons
Pigs
Poultry (includes chickens, ducks, turkeys, geese and guineafowls)
Sheep
No. of breeders
No. of non-breeders
Total no. of cattle
NT brands registered for use on this property
Comments
If other (please specify)
If you intend to run, or are running livestock on your property including agistment livestock, you must meet the requirements of the Livestock Act 2008 for livestock movement and identification such as waybills, brands and the National Livestock Identification System (NLIS).
For more information on your legal obligations as a livestock owner, contact your local livestock biosecurity officer:
For more information or assistance in completing this form, email adele.kluth@nt.gov.au, Livestock Identification Systems Administrator (LISA) and Brands Biosecurity & Animal Welfare Group in the Department of Industry, Tourism and Trade.
Last updated: 24 January 2022
