Export EDN Authority to Act Authority for EDN lodgement for export clearance only. "*" indicates required fields FacebookThis field is for validation purposes and should be left unchanged.Export Authority to Act The Customs Act 1901 (the Act) provides details as to the requirement of using a customs broker licensed by the Chief Executive Officer (CEO) of Customs to submit a declaration to export goods.Because of the complexity of the laws governing the movement of goods into and out of Australia we are required to have permission to lodge declarations and messages to Customs/ Australian Border Force on behalf of exporters. This authority should be reviewed in conjunction with the customs brokerages terms and conditions as well as legislative requirements as/where applicable. Please take a photo or file of your Drivers License or Passport before you begin as you are required to upload at the end of this form.Export Clearance Authority* I/ We (the Customer) hereby authorize Customs Brokers Pty Ltd ABN, 63 636 237 682 (the Company) its subsidiaries or other business names, and its nominees and/or subagents as may be appointed when required to act as my/our Licensed Customs Broker for the purposes outlined in the Customs Act 1901 section 181. We acknowledge the details below regarding legislative authority, indemnity and trading terms and conditions. Authority for other legislative and related purposes* The Customer authorises the Company to quote the Customs ABN as may be required by the ATO, and other related legislation in respect of the imported goods, or the exported goods to the Australian Border Force, or any other Government Authority. This relates to the actions of clearance, transportation of the goods, and other reporting obligations or goods and services undertaken for the Company. The Customer authorises the Company to endorse Original Bills of Lading and letters of endorsement on our behalf, in their capacity as our authorized Agent. This also includes paying charges, receiving documents such as arrival notices, shipping charges invoices, and release orders ordelivery orders via email or other conveyances as/if required. Confirmation and Understanding Acknowledgment* The Customer has read, understand and accepts our Trading Terms and Conditions The Customer acknowledges that all documents relating to customs clearances, imports and export and related matters are required to be kept for a minimum of 5 years and presented to the relevant authorities on request. Indemnity and inconsistency* The Customer agrees to indemnify Customs Brokers Pty Ltd against any claims or demands made against them arising from any declarations made on our behalf. Any inconsistency between trading terms and conditions, a service agreement, credit application or fee shall be considered in this order unless explicitly outlined in another agreement. Date* DD slash MM slash YYYY Are you exporting as*(please select one of the below) A Business An Individual Business Name*Australian Business Number (ABN)Phone Number*Email* Personal Exporter Name*Phone Number*Email* Exporter Address* Street Address Address Line 2 City Australian State Post Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email Address of Person in Authority (Signatory)* Drivers License Copy or Passport Copy - Mandatory*Please note upload must be in either a .jpg or .png format Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 67 MB, Max. files: 2. Signature for Authority to Act*Please sign your name here. Use your mouse or tablets may allow you to sign on screen.CAPTCHA Export Authority to Act Authority for EDN lodgement for export clearance only. "*" indicates required fields URLThis field is for validation purposes and should be left unchanged.Export Authority to Act The Customs Act 1901 (the Act) provides details as to the requirement of using a customs broker licensed by the Chief Executive Officer (CEO) of Customs to submit a declaration to export goods.Because of the complexity of the laws governing the movement of goods into and out of Australia we are required to have permission to lodge declarations and messages to Customs/ Australian Border Force on behalf of exporters. This authority should be reviewed in conjunction with the customs brokerages terms and conditions as well as legislative requirements as/where applicable. Please take a photo or file of your Drivers License or Passport before you begin as you are required to upload at the end of this form.Export Clearance Authority* I/ We (the Customer) hereby authorize Customs Brokers Pty Ltd ABN, 63 636 237 682 (the Company) its subsidiaries or other business names, and its nominees and/or subagents as may be appointed when required to act as my/our Licensed Customs Broker for the purposes outlined in the Customs Act 1901 section 181. We acknowledge the details below regarding legislative authority, indemnity and trading terms and conditions. Authority for other legislative and related purposes* The Customer authorises the Company to quote the Customs ABN as may be required by the ATO, and other related legislation in respect of the imported goods, or the exported goods to the Australian Border Force, or any other Government Authority. This relates to the actions of clearance, transportation of the goods, and other reporting obligations or goods and services undertaken for the Company. The Customer authorises the Company to endorse Original Bills of Lading and letters of endorsement on our behalf, in their capacity as our authorized Agent. This also includes paying charges, receiving documents such as arrival notices, shipping charges invoices, and release orders ordelivery orders via email or other conveyances as/if required. Confirmation and Understanding Acknowledgment* The Customer has read, understand and accepts our Trading Terms and Conditions The Customer acknowledges that all documents relating to customs clearances, imports and export and related matters are required to be kept for a minimum of 5 years and presented to the relevant authorities on request. Indemnity and inconsistency* The Customer agrees to indemnify Customs Brokers Pty Ltd against any claims or demands made against them arising from any declarations made on our behalf. Any inconsistency between trading terms and conditions, a service agreement, credit application or fee shall be considered in this order unless explicitly outlined in another agreement. Date* DD slash MM slash YYYY Are you exporting as*(please select one of the below) A Business An Individual Business Name*Australian Business Number (ABN)Phone Number*Email* Personal Exporter Name*Phone Number*Email* Exporter Address* Street Address Address Line 2 City Australian State Post Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email Address of Person in Authority (Signatory)* Drivers License Copy or Passport Copy – Mandatory*Please note upload must be in either a .jpg or .png format Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 67 MB, Max. files: 2. Signature for Authority to Act*Please sign your name here. Use your mouse or tablets may allow you to sign on screen.CAPTCHA