f02-0021 - application form for sheep or goat...

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F 2-21 APPLICATION FORM FOR SHEEP or GOAT NLIS (ELECTRONIC) BREEDER & POST BREEDER TAGS Livestock Disease Control Act 1994 (Effective – June 2017) Return address: Tag Registrar, PO Box 2500, Bendigo Vic 3554 Fax: (03) 5430 4505 Email: nlis.victoria@ecodev.vic.gov.au For further information call 1800 678 779 (9am - 4.30pm weekdays) NLIS tags can be ordered over the internet by visiting www.vic.gov.au/nlis 1. Property Identification Code (PIC): Do you currently have a PIC for this property? property? NO YES If YES, please insert your PIC below – Insert PIC here - 3 2. Livestock owner details: Tags will be posted to this address. Name: Trading Name: Postal Address: Town: Postcode : Phone: Mob: Fax: Email address (must be : Signature: Date : 3. Farm manager details: Insert details of person responsible for husbandry of livestock (NOT company name). Name of Manager: Postal Address: Town: Postcode : Phone: Mob: Fax: 4. Property owner: Property owner: Postal Address: Town: Postcode : Phone: Mob: Fax: 5. Property* details (Please complete this section if property details have not previously been supplied or if the details have changed): Shire: Parish: Rural Address: (Road Number, Road Name & Town) Council Property / Grazing Licence Number/s: Tags will not be issued unless the Council Property Number, Rate Assessment Number (as allocated by the (*A property may consist of more than one block of land provided the blocks are part of the one livestock enterprise within the one locality. Each block of land must be included on the application or on an accompanying list attached to this application.) 6. Insert previous property owner details (if known): Name: Previous PIC or tail tag no.: Page 1 of 9 Version: 21 June 2017

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APPLICATION FORM FOR SHEEP or GOATNLIS (ELECTRONIC) BREEDER & POST BREEDER TAGS

Livestock Disease Control Act 1994 (Effective – June 2017)

Return address: Tag Registrar, PO Box 2500, Bendigo Vic 3554 Fax: (03) 5430 4505 Email: [email protected] further information call 1800 678 779 (9am - 4.30pm weekdays)

NLIS tags can be ordered over the internet by visiting www.vic.gov.au/nlis1. Property Identification Code (PIC):

Do you currently have a PIC for this property? property?

NO YES If YES, please insert your PIC below –

Insert PIC here - 32. Livestock owner details: Tags will be posted to this address.

Name:Trading Name:Postal Address:Town: Postcode:Phone: Mob: Fax:Email address (must be supplied):Signature: Date:

3. Farm manager details: Insert details of person responsible for husbandry of livestock (NOT company name).

Name of Manager:Postal Address:Town: Postcode:Phone: Mob: Fax:

4. Property owner:Property owner:Postal Address:Town: Postcode:Phone: Mob: Fax:

5. Property* details (Please complete this section if property details have not previously been supplied or if the details have changed):

Shire:Parish:Rural Address:(Road Number, Road Name & Town)

Council Property / Grazing Licence Number/s:Tags will not be issued unless the Council Property Number, Rate Assessment Number (as allocated by the shire) or Grazing Licence Number (by DELWP) is provided.

(*A property may consist of more than one block of land provided the blocks are part of the one livestock enterprise within the one locality. Each block of land must be included on the application or on an accompanying list attached to this application.)

6. Insert previous property owner details (if known):Name:Previous PIC or tail tag no.:

7. Tick the livestock type/s run on the property and enter the current number of each livestock type:

Dairy: Beef: Sheep: Goats: Horses, Mules,Donkeys: Pigs: Poultry: Alpaca,

Llama: Deer:

Livestock type ()Number of livestock

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F 2 - 2 1

From 1 January 2017 all sheep and goats born in Victoria MUST be tagged with an electronic NLIS (sheep) tag before being dispatched to a saleyard, abattoir, or another property with a different PIC . Producers tagging sheep and goats born prior to 1 January 2017 can either use a visually readable NLIS (sheep) tag, or an electronic NLIS (sheep) tag.

If your sheep are ovine johnes disease (OJD) vaccinated or terminal lambs please select the appropriate OJD status to be printed. You must select OJD status of V if your sheep have been OJD vaccinated. OJD status of T indicates that your sheep are Terminal (crossbred) lambs from an OJD affected flock. If you leave this section blank no OJD status will be printed.

COST NEUTRAL TAGS FOR SHEEP AND GOATS BORN IN 2017Electronic NLIS (Sheep) tags for the identification of lambs and kids born in Victoria in 2017 are available from Agriculture Victoria at 'cost neutral' prices. The cheapest 'cost neutral' electronic tag is available for $0.35 per tag.

The following limits are in place on a producer's 'cost neutral' tag purchases; A producer for a particular PIC is only permitted to purchase the equivalent of their NLIS (Sheep) visual and

electronic tag purchased for that PIC between 1 NOVEMBER 2015 and 31 OCTOBER 2016, plus an additional 10 per cent above this number. APPLICATIONS LODGED WITH AGRICULTURE VICTORIA THAT EXCEED THE ELIGIBLE COST NEUTRAL QUANTITY WILL BE RETURNED TO THE APPLICANT FOR RESUBMISSION.

The only electronic NLIS (Sheep) tags that can be purchased at 'cost neutral' prices are white tags (white is the 2017 'year of birth' colour) and pink Post-breeder tags (pink tags are used to identify sheep and goats that are introduced onto a property and lose their tags). For further information on tag use, visit agriculture.vic.gov.au.

If any person provides false or incorrect information in their application they may be deemed ineligible for any future or additional subsidised electronic tags, and/or Agriculture Victoria may recover the value of subsidies invalidly obtained.

To be eligible for cost neutral (subsidised) tags you MUST supply the information requested in the table below for visual and electronic tags purchased between 1 NOVEMBER 2015 and 31 OCTOBER 2016 (please attach a second sheet if necessary) AND complete the statement below.

Tag manufacturer/s name:

Date/s of visual/electronic tag order/s:

Invoice number/s:

PIC printed on the tags:

Quantity visual/electronic sheep/goat tags purchased between 1/11/15 & 31/10/16:

DEDJTR OFFICE USE ONLY: Eligible cost neutral quantity:

Manufacturer check complete:

STATEMENT: (this section MUST be completed if you are requesting cost neutral tags. If incomplete the form will be returned)

I declare that the information provided in the above table is true and correct. I acknowledge and agree that if the information provided in the above table is false or incorrect, I may be deemed ineligible for future subsidies available for electronic sheep and goat tags and that DEDJTR reserves the right to recover the value of any subsidy obtained on a false or incorrect basis. If requested, I will provide DEDJTR with proof of purchase or alternatively, consent to DEDJTR contacting tag suppliers.

Signature: Date:

Producers continue to have access to subsidised NLIS (Sheep) tags at current retail prices. Producers can buy tags at these prices without limit. For further information, please call Agriculture Victoria's NLIS toll-free Helpline on 1800 678 779 during office hours.

Please tick whether these electronic NLIS tags are for Sheep or Goats

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F 2 - 2 1

Allflex:Two piece tags and Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

Cost neutralAllflex NLIS two piece ear tag

White (2017) N/A Vaccinated Terminal $0.52

Pink Post Breeder N/A Vaccinated Terminal $0.52

Allflex NLIS two piece ear tagThere is no minimum order quantity and any quantity of tags can be ordered.

The Allflex two piece ear tag and pin are supplied in year of birth colours.

Black (2016) N/A Vaccinated Terminal $1.05

White (2017) N/A Vaccinated Terminal $1.05

Orange (2018) N/A Vaccinated Terminal $1.05

Light Green (2019) N/A Vaccinated Terminal $1.05

Purple (2020) N/A Vaccinated Terminal $1.05

Yellow (2021) N/A Vaccinated Terminal $1.05

Red (2022) N/A Vaccinated Terminal $1.05

Sky Blue (2023) N/A Vaccinated Terminal $1.05

Pink Post Breeder N/A Vaccinated Terminal $1.05

Allflex Universal Tag Applicator $15.00

Allflex Identiplier Applicator $25.00

If you would like your property or stud name printed on the back of the male tag (pin) please enter this below. This can be up to 16 characters long:

Tick if you would like your five digit NLIS serial number printed on the back of the male pin

Would like your two piece tags posted loose in a plastic bag OR

Would you like your two piece tags posted in sequential order in lots of 5 tags on a plastic stick

Allflex:One piece RapID tag & Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

Cost neutralAllflex RapID one piece Tag

White (2017) N/A Vaccinated Terminal $0.36

Pink Post Breeder N/A Vaccinated Terminal $0.36

Allflex RapID one piece TagMinimum order quantity for each colour is 20 tags. Can only be ordered in lots of 20 tags.

Black (2016) N/A Vaccinated Terminal $0.72

White (2017) N/A Vaccinated Terminal $0.72

Orange (2018) N/A Vaccinated Terminal $0.72

Light Green (2019) N/A Vaccinated Terminal $0.72

Purple (2020) N/A Vaccinated Terminal $0.72

Yellow (2021) N/A Vaccinated Terminal $0.72

Red (2022) N/A Vaccinated Terminal $0.72

Sky Blue (2023) N/A Vaccinated Terminal $0.72

Pink Post Breeder N/A Vaccinated Terminal $0.72

Allflex RapIDMatic Applicator(20 shot semi-automatic applicator) $50.00

Allflex RapIDTagger Applicator $15.00

You must select ONE of the following tag layout options. If incomplete, your tags will be printed with DO NOT REMOVE on the MALE/PIN side of the tag and the NLIS ID which includes your PIC and serial number will be printed on the FEMALE side as per picture below. (The example images below show the tag layout option printed on the MALE/PIN side)

5 digit serial number printed On MALE On FEMALE

8 custom characters printed(insert details in box) On MALE On FEMALE

Do Not Remove printed On MALE On FEMALE

24 custom characters printed(insert details in box below) On MALE On FEMALE

/2 digit management number printed on all tags along with the last 4 digits of the serial number (insert details in box)

On MALE On FEMALE

Text over serial number printed(insert details in box) On MALE On FEMALE

Page 3 of 7 Version: 21 June 2017

F 2 - 2 1

Allflex:Two piece tags and Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

Leader Products:Multitronic Tags and Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

Cost neutralLeader Products “Multitronic one piece” NLIS ear tag

White (2017) N/A Vaccinated Terminal $0.38

Pink Post Breeder N/A Vaccinated Terminal $0.38

Leader Products “Multitronic one piece” NLIS Ear TagThe minimum order quantity for each colour is 10 tags. Can only be ordered in lots of 10 tags,

Black (2016) N/A Vaccinated Terminal $0.76

White (2017) N/A Vaccinated Terminal $0.76

Orange (2018) N/A Vaccinated Terminal $0.76

Light Green (2019) N/A Vaccinated Terminal $0.76

Purple (2020) N/A Vaccinated Terminal $0.76

Yellow (2021) N/A Vaccinated Terminal $0.76

Red (2022) N/A Vaccinated Terminal $0.76

Sky Blue (2023) N/A Vaccinated Terminal $0.76

Pink Post Breeder N/A Vaccinated Terminal $0.76

Leader Products 3 in 1 ApplicatorThe 3 in 1 applicator can also apply the Leader Products Multipin tag.

$25.00

You must select ONE of the following tag layout options. If incomplete, your tags will be printed with DO NOT REMOVE on the FEMALE side of the tag and the NLIS ID which includes your PIC and serial number will be printed on the MALE side as per picture below. DO NOT REMOVE

Serial Number

Property or Stud name. This can be up to 16 characters long. Please specify your Property or Stud name in the box below.

/

Leader Products:Multipin Tags and Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

Cost neutralLeader Products “Multipin one piece” Tag

White (2017) N/A Vaccinated Terminal $0.36

Pink Post Breeder N/A Vaccinated Terminal $0.36

Leader Products Multipin one piece TagMinimum order quantity for each colour is 10 tags. Can only be ordered in lots of 10 tags.

Black (2016) N/A Vaccinated Terminal $0.72

White (2017) N/A Vaccinated Terminal $0.72

Orange (2018) N/A Vaccinated Terminal $0.72

Light Green (2019) N/A Vaccinated Terminal $0.72

Purple (2020) N/A Vaccinated Terminal $0.72

Yellow (2021) N/A Vaccinated Terminal $0.72

Red (2022) N/A Vaccinated Terminal $0.72

Sky Blue (2023) N/A Vaccinated Terminal $0.72

Pink Post Breeder N/A Vaccinated Terminal $0.72Leader Products 3 in 1 ApplicatorThe 3 in 1 applicator can also apply the Leader Products Multitronic tag.

$25.00

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F 2 - 2 1

Allflex:Two piece tags and Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

You must select ONE of the following tag layout options. If incomplete, your tags will be printed with DO NOT REMOVE on the MALE/PIN side of the tag and the NLIS ID which includes your PIC and serial number will be printed on the FEMALE side as per picture below. (The example images below show the tag layout option printed on the FEMALE side)

5 digit serial number printed On MALE On FEMALE

8 custom characters printed(insert details in box) On MALE On FEMALE

DO NOT REMOVE printed On MALE On FEMALE

24 custom characters printed(insert details in box below) On MALE On FEMALE

/

Leader Products:Leadertronic Tags and Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

Cost neutralLeader Products “Leadertronic” NLIS ear tag

White (2017) N/A Vaccinated Terminal $0.50

Pink Post Breeder N/A Vaccinated Terminal $0.50

Leader Products “Leadertronic” NLIS Ear TagThere is no Minimum order quantity. Leadertronic tags are supplied in number order in bags of 20 tags.

The Leadertronic breeder sheep tag is yellow in colour. Pins are available in year of birth colours.

Black (2016) N/A Vaccinated Terminal $1.01

White (2017) N/A Vaccinated Terminal $1.01

Orange (2018) N/A Vaccinated Terminal $1.01

Light Green (2019) N/A Vaccinated Terminal $1.01

Purple (2020) N/A Vaccinated Terminal $1.01

Yellow (2021) N/A Vaccinated Terminal $1.01

Red (2022) N/A Vaccinated Terminal $1.01

Sky Blue (2023) N/A Vaccinated Terminal $1.01

Pink Post Breeder N/A Vaccinated Terminal $1.01

Leader Products “Standard Leader Deluxe” ApplicatorThe Standard Deluxe applicator is only suitable for use with the Leadertronic tag.

$15.00

Would you like the serial number printed on the back of the male PIN? Yes No

If you would like your property or stud name printed on the back of the male tag (pin) please enter this below. This can be up to 16 characters long:

Shearwell:Tags and Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

Cost neutralShearwell NLIS ear tags

White (2017) N/A Vaccinated Terminal $0.37

Pink Post Breeder N/A Vaccinated Terminal $0.37

Shearwell NLIS Ear TagsThe minimum order quantity for each colour is 10 tags. Can only be ordered in lots of 10 tags,

Black (2016) N/A Vaccinated Terminal $0.75

White (2017) N/A Vaccinated Terminal $0.75

Orange (2018) N/A Vaccinated Terminal $0.75

Light Green (2019) N/A Vaccinated Terminal $0.75

Purple (2020) N/A Vaccinated Terminal $0.75

Yellow (2021) N/A Vaccinated Terminal $0.75

Red (2022) N/A Vaccinated Terminal $0.75

Sky Blue (2023) N/A Vaccinated Terminal $0.75

Pink Post Breeder N/A Vaccinated Terminal $0.75

Shearwell Tag ApplicatorIf this is your first Shearwell tag purchase you may be eligible for a free applicator. Call Shearwell on 1800 998 934 to find out more.

$12.00

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F 2 - 2 1

Allflex:Two piece tags and Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

You must select ONE of the following tag layout options. If incomplete, your tags will be printed with DO NOT REMOVE on the outside of the tag and the NLIS ID which includes your PIC and serial number will be printed on the inside as per picture below. DO NOT REMOVE

Property or Stud name.The Property or Stud name can be printed over two lines as per the above picture. Each line can be up to 11 characters long. Please specify your Property or Stud name in the box below.

/

NLIS with Management Number. The management number is printed in large print. The management number can be up to four digits long. This number will be printed on each tag. The last four digits of the serial number will also be printed on this side of the tag. Please specify your management number in the box below (up to 4 digits long).

NLIS with Australian Genetics Number.Please specify your Australian Genetics Number, this will be printed along with your serial number on the outside of the tag (up to 12 digits long).

Zee Tags:FET Tags and Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

Cost neutralZee Tags FET NLIS Ear Tags

White (2017) N/A Vaccinated Terminal $0.35

Pink Post Breeder N/A Vaccinated Terminal $0.35

Zee Tags FET NLIS Ear TagsThe minimum order quantity for each colour is 10 tags. Can only be ordered in lots of 10 tags,

Black (2016) N/A Vaccinated Terminal $0.70

White (2017) N/A Vaccinated Terminal $0.70

Orange (2018) N/A Vaccinated Terminal $0.70

Light Green (2019) N/A Vaccinated Terminal $0.70

Purple (2020) N/A Vaccinated Terminal $0.70

Yellow (2021) N/A Vaccinated Terminal $0.70

Red (2022) N/A Vaccinated Terminal $0.70

Sky Blue (2023) N/A Vaccinated Terminal $0.70

Pink Post Breeder N/A Vaccinated Terminal $0.70

Zee Tags FET Tag Applicator $17.00

You must select ONE of the following tag layout options. If incomplete, your tags will be printed with DO NOT REMOVE on the MALE/PIN side of the tag and the NLIS ID which includes your PIC and serial number will be printed on the FEMALE side as per picture below. (The example images below show the tag layout option printed on the MALE side. The FEMALE side of the tag is left of the picture)

5 digit serial number printed On MALE On FEMALE

8 custom characters printed(insert details in box)

On MALE On FEMALE

DO NOT REMOVE printed On MALE On FEMALE

24 custom characters printed(insert details in box)

On MALE On FEMALE

/

Zee Tags:TagFaster Tags and Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

Cost neutralTagFaster NLIS Ear Tags

White (2017) N/A Vaccinated Terminal $0.40

Pink Post Breeder N/A Vaccinated Terminal $0.40TagFaster NLIS Ear TagsThe minimum order quantity for each colour is 20 tags. Can only be ordered in lots of 20 tags,

Black (2016) N/A Vaccinated Terminal $0.80

White (2017) N/A Vaccinated Terminal $0.80Orange (2018) N/A Vaccinated Terminal $0.80

Page 6 of 7 Version: 21 June 2017

F 2 - 2 1

Allflex:Two piece tags and Applicators Tag Colour Quantity

Starting Serial

Number

Ovine Johnes Disease (OJD) Status(This must be completed. If incomplete no OJD

status will be printed on tag)N/A = no OJD status printed on tag,

V = Vaccinated, T = Terminal

Price

Light Green (2019) N/A Vaccinated Terminal $0.80

Purple (2020) N/A Vaccinated Terminal $0.80

Yellow (2021) N/A Vaccinated Terminal $0.80

Red (2022) N/A Vaccinated Terminal $0.80

Sky Blue (2023) N/A Vaccinated Terminal $0.80

Pink Post Breeder N/A Vaccinated Terminal $0.80

Zee Tags TagFaster Automatic Applicator $45.00

Zee Tags TagFaster Manual Applicator $5.00

You must select ONE of the following tag layout options. If incomplete, your tags will be printed with DO NOT REMOVE on the MALE/PIN side of the tag and the NLIS ID which includes your PIC and serial number will be printed on the FEMALE side as per picture below. (The example images below show the tag layout option printed on the MALE side. The FEMALE side of the tag is left of the picture)

5 digit serial number printed On MALE On FEMALE

8 custom characters printed(insert details in box) On MALE On FEMALE

DO NOT REMOVE printed On MALE On FEMALE

24 custom characters printed(insert details in box below) On MALE On FEMALE

/

8. Total Amount Payable (GST Free) including $10 Administration fee per tag manufacturer:

TOTAL AMOUNT $......................... + $10.00 ADMINISTRATION FEE PER MANUFACTURER = $ ….………………….

Please enclose a cheque made payable to “DEDJTR” for the total amount OR complete your credit card details. NLIS tags are GST Free.

Card Expiry date: / Name on card: Amount: $

Card Number:

Signature: Date:

Email the completed application form to [email protected] or post to:Mail: DEDJTR, TAG REGISTRAR

PO BOX 2500BENDIGO VIC 3554

Fax: (03) 5430 4505Phone: 1800 678 779 (9am – 4.30pm weekdays, public holidays excluded)

To order livestock identification tags on line visit www.vic.gov.au/nlis To order Livestock Production Assurance National Vendor Declarations (NVD’s) call MLA on 1800 683 111For more information regarding the use of electronic NLIS (Sheep) tags please visit www.vic.gov.au/nlis

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National LivestockNational LivestockNational LivestockNational LivestockNational LivestockNational LivestockNational Livestock

Information to note:1. The information provided on application forms for Breeder and Post-breeder tags may be provided to Commonwealth and State Government

agencies where this is deemed necessary for market access, and disease and residue control purposes, and to NLIS Ltd* to facilitate the operation of the National Livestock Identification System.

2. For information about the supply and use of NLIS devices, please visit www.vic.gov.au/nlis