Aboriginal Affairs Planning Authority Act Regulations 1972


17/Oct/2003 - Current (at 31 Dec 2005)
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    Schedule

    Form No. 1

    Aboriginal Affairs Planning Authority Act 1972

    (Section 15)

    CERTIFICATE OF APPOINTMENT AS AN OFFICER OF THE ABORIGINAL AFFAIRS PLANNING AUTHORITY


    THIS is to certify that ............................................................................. has been duly appointed to be an officer of the Aboriginal Affairs Planning Authority, with authority to act in that capacity until the termination of such appointment.
        Dated the ............................. day of ............................. 20...........

        ...................................................................
        Commissioner for Aboriginal Planning.

    Form No. 2

    Aboriginal Affairs Planning Authority Act 1972

    (Section 31)

    PERMIT TO ENTER A RESERVE


    IN pursuance of the provisions of section 31 of the Aboriginal Affairs Planning Authority Act 1972, and of the regulations made under that Act, I hereby grant permission to enter and remain on Aboriginal Reserve No. .................................. in the State of Western Australia, subject to the conditions that the person(s) named herein shall at all times

    (Here insert conditions to be observed.)





    This permit is valid from the ........................... day of ............................... 20........... and expires on the ....................... day of ................................ 20.......... unless sooner revoked by the Minister.

    ..................................................................
    Minister.

    [Form 2 amended in Gazette 7 Nov 1978 p. 4217.]

    Form No. 3

    Aboriginal Affairs Planning Authority Act 1972

    (Section 35)

    APPLICATION FOR ORDER FOR PAYMENT OF PROCEEDS OF ESTATE OF DECEASED PERSON OF ABORIGINAL DESCENT

    (a) Full name of claimant.I, (a) ................................................................................................
    (b) Address of claimant.of (b) ............................................................................................... in the State of Western Australia, being
    (c) Claimant's relationship to deceased person of Aboriginal descent.(c) ................................................................................................
    (d) Full name of deceased person of Aboriginal descent.of (d) ............................................................................................... a deceased person of Aboriginal descent, hereby apply that an order be made by His Excellency the Governor pursuant to section 35 of the Aboriginal Affairs Planning Authority Act 1972, that the proceeds of the estate of the said deceased person of Aboriginal descent be paid to me, for the reason that I have a moral claim to such proceeds on the following grounds
    (e) Set out the grounds on which the claim is based.
      (e)


      Dated the ..................... day of ................................, 20.........

      ........................................................
      (Signature of Claimant)

    Report and Recommendation of Local Officer:

    Date ...................................................


    ........................................................
    (Signature of Officer)

    FOR HEAD OFFICE USE ONLY.

    Claim is

    approved.
    _________________
    not approved.


    ........................................................
    Public Trustee

    Date ................................................

    Executive Council Minutes prepared .............................................

    Executive Council Approval granted .............................................

    Disbursement made ........................................................................


    ........................................................
    A/O

    Form No. 4

    Aboriginal Affairs Planning Authority Act 1972

    (Section 41)

    APPLICATION FOR ASSISTANCE

    (To be submitted to the nearest Office of the
    Aboriginal Affairs Planning Authority)


    I, .................................................. (Full name), of ................................................. (address) in the State of Western Australia, being a person of Aboriginal descent as defined under section 4 of the Aboriginal Affairs Planning Authority Act 1972, hereby apply for assistance under section 41 of that Act.

    In support of this application I furnish the particulars as set forth hereunder.


    ............................................................
    (Signature)

    DATE ..........................................

      1. Date and place of birth ..................................................................................

      2. Are you in receipt of any pension? If so, state particulars ..................................

      ....................................................................................................................

      3. What physical disabilities do you suffer from? ....................................................................................................................

      4. How much money of your own have you? ......................................................

      5. What other assets do you have? .....................................................................

      6. Provide details of your dependants .................................................................

      7. What amount of financial assistance do you require? ....................................................................................................................

      8. For what purpose? ........................................................................................

      9. What is your occupation? ..............................................................................

      10. What is your average weekly income from all sources? ....................................

      11. Who is your employer? .................................................................................

      12. How long have you been in your present position? ....................................................................................................................

      13. At what rate could you repay any assistance given? ....................................................................................................................

      14. Can you obtain financial assistance from any other person or authority? ....................................................................................................................


    [Schedule amended in Gazette 7 Nov 1978 p. 4217.]


Note: This is not an authorised version. The only authorised version is the hardcopy (printed) version published under authority of the Government Printer, available from the State Law Publisher, 10 William St Perth W.A. 6000.