MSIC Application Guidelines

Similar documents
MARITIME SECURITY IDENTIFICATION CARD (MSIC) INFORMATION

Why do we need a MSIC?

Maritime Security Identification Card (MSIC) Applicant Information and Form

Maritime Security Identification Card (MSIC) Scheme. Presentation for all Applicants

MARITIME SECURITY IDENTIFICATION CARD

IMPORTANT: Currently 1 Penalty Unit equals $180

AVIATION SECURITY IDENTIFICATION CARD (ASIC) APPLICATION FORM

Aviation Security Identification Card (ASIC) Application Form S002

Aviation Security Identification Card (ASIC) Application Form S002

REISSUE OF ASIC APPLICATION VISA RENEWAL FORM-S010

Maritime Security Identification Card (MSIC) Applications & Information

AVIATION SECURITY IDENTIFICATION CARD (ASIC) APPLICATION

Application for criminal history screening prescribed notice (yellow card)

ASIC APPLICATION GUIDANCE MATERIAL FOR QANTAS GROUP GROUND STAFF AND OFF AIRPORT EMPLOYEES BASED IN AUSTRALIA

Security Providers Form 1-1

MSIC MSIC MSIC. Maritime Security Identification Card. Information for cardholders and applicants. John CITIZEN. John CITIZEN 01 AUG 2019 ABC

NATIONAL POLICE HISTORY CHECK INFORMATION. Western Australian Education and Training Sectors

Blue card application

BCB. Blue card business application NEW/RENEWAL. Blue Card Services Department of Justice and Attorney-General

GOLD COAST SCHOOLIES COMMUNITY SAFETY RESPONSE POSITIVE NOTICE (BLUE CARD) PAPERWORK CHECKLIST

Adult. Descent & Passport. Application for New Zealand Citizenship by

informed consent form

Queensland Blue Card Application Instructions

APPLICATION AND INFORMED CONSENT FORM

Application for Transfer or Confirmation of a Visa

Application for an Authority to Drive Taxi-Cab or Private Hire Vehicle (Issued under the Passenger Transport Act 1990)

precise background services telstra employment pack 1

complete this QUT will section for you this section Blue card application Insert your name NEW/RENEWAL

ASIO s Security Assessment Function

Overseas: NOTES. Application for an Australian Passport. Your checklist. Keep your passport safe at all times.

157P. Application for a student visa with permission to work. Applying online. Visa conditions. Residential address. Evidence of commencement of study

Application for a Work and Holiday visa

Application Form for Business Visa

DISABILITY SERVICES EMPLOYMENT SCREENING

Form 101 Initial Licence Application

Partnership-Based Temporary Visa Application

Application for Transfer or Confirmation of a Visa

APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996

Application for a Variation of Conditions or a Variation of Travel Conditions

Application for the Grant or Renewal of Registration as a Foreign Lawyer

Application for Accreditation by Overseas Qualification, Professional Association Membership or Advanced Standing

You will have committed an offence if your ASIC is lost, stolen or destroyed and you do not advise your issuing body within 7 days.

STAFF-IN-CONFIDENCE (WHEN COMPLETED) NATIONAL POLICE CHECKING SERVICE (NPCS) APPLICATION/CONSENT FORM

Visitor Visa Application

Application for an Australian Passport Overseas Form (PC8) - ADULT

Application for Accreditation by Overseas Qualification, Professional Association Membership or Advanced Standing

REGISTRATION FOR A SCHOOL PSYCHOLOGIST/COUNSELLOR OR SPEECH PATHOLOGIST POSITION IN THE DIOCESE OF MAITLAND-NEWCASTLE

Company Officer Form Supporting a Company Application

Section 1: Applicant s Personal Details

Application checklist

Application for a Certificate of Approval

The Liberal Party of Australia Western Australian Division APPLICATION FOR ENDORSEMENT NOTES FOR APPLICANTS

Australian Federal Police National Police Check (NPC) Application Form Please complete this form by referring to the Application Completion Guide.

Application for Transfer or Confirmation of a Visa

Application for a Variation of Conditions or a Variation of Travel Conditions

2018/19 APPLICATION FOR GRANT OF AN AUSTRALIAN REGISTRATION CERTIFICATE AS AN AUSTRALIAN-REGISTERED FOREIGN LAWYER IN NEW SOUTH WALES

Visitor s Visa/Permit Application

To help you complete this form, refer to the guidance provided. Help can also be found at

APPLICATION FOR GENERAL EMPLOYEE POSITION 2017

Child General Passport Application

PERMANENT RESIDENT CARD Immigrationfacts.ca INSTRUCTIONS ORDER FORM

IMM1000/RECORD OF LANDING - Verification of Status IMMIGROUP ORDER FORM INSTRUCTIONS

Version 03/2009. You also need the separate guidance documents listed below, which you should read before making your application:

SECTION 1: PERSONAL INFORMATION

APPLICATION BY INDIVIDUAL FOR AGENT S LICENCE Section 38, Real Estate Agents Act 2008

Application for a Variation of Conditions or a Variation of Travel Conditions

EVIDENCE OF IDENTITY

Immigration Regulations 2014

NATIONAL POLICE CHECKING SERVICE (NPCS) APPLICATION/CONSENT FORM (ACCREDITED AGENCIES - CUSTOMERS)

Visitor Visa Application

Establishing your identity

Application to Transit through New Zealand. New Zealand. Immigration Service Te Ratonga Manene. New Zealand. the right choice

Visitor Visa Application

48R. Application to visit Australia for tourism or other recreational activities. Who can you include in this application? Who should use this form?

A6 Partnership status Married/in civil union Never married/never in civil union Partner Separated Engaged Widowed Divorced

REPLACEMENT CANADIAN CITIZENSHIP CERTIFICATE Immigrationfacts.ca ORDER FORM INSTRUCTIONS

APPLICATION FOR PRE-REGISTRATION CANADA PHARMACY TECHNICIAN CANADIAN FREE TRADE AGREEMENT (CFTA) Application Form

Appointment of a migration agent or exempt agent or other authorised recipient

Type of law: CIVIL LAW. A 2015 Alberta Guide to the Law REPLACING ID. Student Legal Services of Edmonton

NTL APPLICATION FOR A NO TIME LIMIT (NTL) STAMP BY SOMEONE WHO ALREADY HAS INDEFINITE LEAVE T O ENTER OR REMAIN IN THE UK.

PASSPORT AND CITIZENSHIP (MINOR) CHECKLIST. Passport form - Complete all sections including signature and left thumbprint.

Application for a Business (Short Stay) visa (for a stay of up to 3 months)

Client Declaration Form

Appendix 5 (2016) STATUTORY DECLARATION Under the Oaths Act 1900 (NSW) and section 40A of the Child Protection (Working with Children) Act 2012

Smart and Skilled Qualification Application

STAFF-IN-CONFIDENCE (WHEN COMPLETED) NATIONAL POLICE CHECKING SERVICE (NPCS) APPLICATION/CONSENT FORM (ACCREDITED AGENCIES - CUSTOMERS)

APPLICATION FOR A PERMIT TO STUDY/RESEARCH

CUBA Tourist Visa. Dear Traveller,

IRISH Working Holiday Visa & Arrival Services

Establishing your identity

APPLICATION FOR STUDENT PHARMACIST (UBC) REGISTRATION. Application Form

Freedom of Information Request to Access a Medical Record

APPLICATION FOR A SOCIAL INSURANCE NUMBER INFORMATION GUIDE FOR APPLICANTS

Application for Volunteer Membership

GUIDE TO THE NATIONAL POLICE CHECKING SERVICE NATIONALLY COORDINATED CRIMINAL HISTORY CHECK APPLICATION/ CONSENT FORM (V-0718)

Visa Application Checklist PS: PLEASE TICK THE CHECK BOXES FOR THE ITEMS WHICH YOU HAVE PROVIDED. APPLICATION INFORMATION

THANK YOU FOR CHOOSING VISA FIRST TO PROCESS YOUR VISA APPLICATION. THIS IS YOUR VISA FIRST APPLICATION PACK WHICH CONTAINS:

When filling in this form, please print clearly using CAPITAL LETTERS.

Student Visa/Permit Application

Application for grant of Australian citizenship. Details of applicant

Transcription:

MSIC Application Guidelines Regulations requiring individuals to hold and display a valid MSIC are in effect. AusCheck is the Commonwealth agency overseeing the issue of MSIC s. First, do you need a Maritime Security Identification Card (MSIC)? 1. Do you work on, or within the Port of Albany? 2. Do you require unescorted access to the Port of Albany to deliver or pick up cargo? 3. Do you require unescorted access to the Port of Albany to provide goods and/or services? 4. Do you need unescorted access to a maritime security zone more than once a year? If you answered YES to any one of these questions, you will need to apply for an MSIC. To do this, simply follow the procedure below. MSIC Applicant Procedure 1. Watch the online Induction at www.southernports.com.au - select Southern Ports - Albany / Online Induction 2. Print a copy of the Certificate A copy of this Certificate can be printed at your application appointment if you do not have access to a printer. 3. Download and Complete the MSIC Application Form available at www.southernports.com.au - select Southern Ports - Albany / MSIC Applications. The application form is available at the MSIC office if you do not have access to a printer. Please note you will be required to supply 10 years of residential address on your application. 4. Obtain a letter of Operational Need from your Employer ensuring to have the following details; Applicants Name, Why you are requiring access to the Maritime Security Zone; How often you require access. A copy of this letter can be emailed to the MSIC office at msic.albany@southernports.com.au 5. Gather the following documentation to support your application: A minimum of three identification documents are required (one each from category A, B and C) A category D is only required if the Category A, B or C do not display proof of current residential address. Please note Photocopies of Originals are NOT accepted. Category A - start of your identity in Australia Category A document must have your full name, be Australian issued and be one of the following: o Australian (full) birth certificate o Australian citizenship certificate o Australian citizenship by descent (official extract issued by Australian government) o Australian visa (with supporting passport) must be checked on VEVO o Australian immicard must be checked on VEVO Category B - your identity linked by photo and signature Category B document must be government issued, have your photo and signature, be current and valid and be one of: o Passport (Australian, foreign or a CTD) o Driver licence (Australian or foreign) o Australian proof of age card

MSIC Application Guidelines Category C - evidence of your identity within the community Category C document must be current, valid and be one of: o Medicare card o Marriage or change of name certificate o ASIC or MSIC o Bank card (credit or ATM card) Category D - evidence of your current residential address Category D document is only required if the document used for A, B or C do not have your current residential address. This document must be less than 6 months old, state your name and current residential address and be one of: o Utility or bank account statement o Rates notice o Current lease or tenancy agreement 6. Payment of $250 for a 2 year MSIC or $350 for a 4 year MSIC is required at time of application (EFT, Cheque or Credit Card No Cash). 7. Call (08)9892 9000 to arrange an appointment to lodge your application. Appointments are available: Monday Friday between 9:00am 12:00 pm or 1:00pm 4:45pm. The MSIC Office is located at 85 Brunswick Road, Albany. Following lodgement of your MSIC application, Southern Ports - Albany will request AusCheck to conduct a background check. Please note: After an MSIC application has been lodged, a monetary refund cannot be made. Please ensure you have read and understood the MSIC Conditions of Use below before you make an application.

MSIC Conditions of Use MSIC Conditions of Use You must wear your MSIC at all times when you are in a maritime security zone. Only YOU can use your MSIC. DO NOT give or loan it to anyone else. Your MSIC must: be attached to your outer clothing be worn above waist height be on the front or side of your body be wholly and clearly visible, and not be altered or defaced. It is an offence if you contravene the regulations on how and where an MSIC must be worn. Lost or stolen MSICs If you lose your MSIC or it is stolen, you will need to provide a statutory declaration or a police report issued by the police before a replacement MSIC can be issued. It is an offence if your MSIC is lost, stolen or destroyed and you do not advise Southern Ports - Albany within seven days. A charge of $100 will be charged for a replacement card (EFT, Cheque or Credit Card No Cash) Returning your MSIC You must return your MSIC within 30 days to Southern Ports - Albany if: it expires it is cancelled it has been damaged, altered or defaced if you no longer need to enter a maritime security zone, or if you change your name. It is an offence to retain your MSIC if you no longer need it or it has been cancelled. Cancellation of MSICs There are many cases when an MSIC may be cancelled, including: the issuing body (Southern Ports - Albany) determines the MSIC was not issued in accordance with its MSIC plan or the regulations, the Department of Home Affairs informs the issuing body that a security assessment of the person was adverse; the issuing body becomes aware that the holder does not have a right to work in Australia; the holder has been convicted of a disqualifying offence; the holder no longer has an operational need for an MSIC. Renewing your MSIC Note your MSIC s expiry date and make sure you apply for the renewal of your MSIC through Southern Ports Albany 4 weeks before it expires. Be security aware Report security breaches to your supervisor or Southern Ports - Albany Security on 9892 9013. Suspicious activity can also be reported to the National Security Hotline on 1800 123 400

MSIC APPLICATION FORM New MSIC Number SPA2 (Office use Only) Application Type (Tick one box only) Provisional (If you are under 18 years of age - When you turn 18 you must apply for a Standard MSIC) Standard MSIC (if you are applying for a Standard MSIC for the first Time) 2 year MSIC $250 4 year MSIC $350 Renewal of a MSIC (if you have held a Standard MSIC before) 2 year MSIC $250 4 year MSIC $350 Current MSIC Number ASIC based (If you currently hold ASIC - NB: Your MSIC will expire the same date as your ASIC) ASIC No ASIC Issuing Body Expiry Date Applicant Details Title: Mr Mrs MS Miss Dr Other Surname: Given Name(s): Previous Names(s): Surname Given Name 1 Given Name 2 Surname Given Name 1 Given Name 2 Date of Birth: Sex: Male Female Unknown Place of Birth (City) Place of Birth (State) Place of Birth (Country) Current Address* Previous Addresses - If you have lived at the above address for less than 10 years provide details of all previous addresses below to total of 10 years.

MSIC APPLICATION FORM New MSIC Number SPA2 (Office use Only) *Postal Address (if different to current address) PO Box No. Applicant Contact Details: Home Phone Work Phone Mobile Phone Email Employer Details Company Name Contact Person Phone Address Fax Email What is your requirement to hold a MSIC (e.g Driver, Agent ect): If the applicant is under 14 years of age a parent or guardian must provide written consent in order to undergo the security assessment. Given Name Surname Relationship to Applicant Phone Signature of Parent or Guardian APPLICANT DECLARATION: I have read & agree to be bound by the Conditions of Use of an MSIC and Access to Southern Ports Albany, and: 1. I consent to all relevant information being forwarded to AusCheck for the purpose of background checking and assessing my suitability to be issued an MSIC and again in 2 years time if I am applying for a 4 year MSIC; 2. I consent to my personal details being forwarded by AusCheck to the Australian Security Intelligence Organisation (ASIO) and CrimTrac for the purpose of conducting a security assessment; 3. I understand that my background check will be measured and assessed against a set of Maritime Security Relevant Offences (MSROs), as listed on the DIRD website www.infrastructure.gov.au; 4. I understand that if I change any part of my name, employer details or contact and address information, I am required to advise Southern Ports - Albany within 30 days of the change; 5. I understand that if I lose my MSIC (i.e. if it becomes lost or stolen) or if I receive a conviction relevant to Point 3 (above) after having received my MSIC, I must notify Southern Ports - Albany within 7 days or I may receive a penalty; 6. I acknowledge that AusCheck may retain a record of MSIC applicants and that any information provided by me in this form or by ASIO or CrimTrac as a result of the background check may be taken into account by AusCheck in assessing my suitability to receive an MSIC; 7. I consent to my information being used by Southern Ports - Albany for the purpose of MSIC application and access to Southern Ports - Albany; 8. I certify that the personal information I have provided within this form pertains specifically to me and is correct; NOTE: The following publications will be given to you at your interview I have received copies of: 1. MSIC information for card holders and applicants Issued by The Department of Home Affairs. 2. AusCheck Privacy Notice pamphlet Issued by the Australian Attorney General s Department. This Declaration MUST be signed in the presence of an Issuing Body staff member Signed: Date: Document Verification Service (DVS) Consent: I am authorised to provide the personal details presented and I consent to my identity being confirmed with the document issuer or official record holder via third party systems. Signed: Date: