AUA Application

Vehicle Authority to Use Airside (AUA) Application

For Operations at Darwin International Airport (DIA)

This form is to be used when applying for a new Authority to Use Airside Permit (AUA) or when renewing a current AUA Permit due to its forthcoming expiry.

Applicants are required to provide evidence of Public Liability Insurance for an amount not less than AUD $20 million and ensure a current Airside Vehicle Indemnity & Release Deed Pol has been signed.

In this application you must demonstrate an operational need to drive a vehicle on the airside on a frequent and unescorted basis. Youmust further show that the operational task(s) cannot be otherwise undertaken landside.

All vehicles driven on the airside of DIA must display a current AUA Permit.

APPLICANT DETAILS

AUA TYPE *

NEWRENEWAL

Existing AUA Label #

Company Name *

ABN/ACN

Business Address *

Contact Name *

ASIC# *

Job Title

Contact Number

Email Address

VEHICLE DETAILS

A maximum of 5 AUA permits can be requested per application.

Companies with GSE wider than the airside apron road (3.6m) must provide ADG with a risk assessment and safety operational proceedures

Section A - Vehicle Specification

Vehicle Type

Private Vehicle (Staff)Vehicle (MVR Qualified)GSE (Ground Service Equipment)

Registration *

Registration Expiry / GSE Inspection Due Date *

Make *

Model *

Year

Serial/Chassis # (if not registered)

Reason for AUA - What will you use this vehicle for on the Airside? *

Special Features

Upload Current Registration/Mechanic Report Copy *

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Add Vehicle

Vehicle Type

Private Vehicle (Staff)Vehicle (MVR Qualified)GSE (Ground Service Equipment)

Registration *

Registration Expiry *

Make *

Model *

Year

Serial/Chassis # (if not registered)

Reason for AUA - What will you use this vehicle for on the Airside? *

Special Features

Upload Current Registration/Mechanic Report Copy *

Browse

Add Vehicle 2

Vehicle Type

Private Vehicle (Staff)Vehicle (MVR Qualified)GSE (Ground Service Equipment)

Registration *

Registration Expiry *

Make *

Model *

Year

Serial/Chassis # (if not registered)

Reason for AUA - What will you use this vehicle for on the Airside? *

Special Features

Upload Current Registration/Mechanic Report Copy *

Browse

Add Vehicle 3

Vehicle Type

Private Vehicle (Staff)Vehicle (MVR Qualified)GSE (Ground Service Equipment)

Registration *

Registration Expiry *

Make *

Model *

Year

Serial/Chassis # (if not registered)

Reason for AUA - What will you use this vehicle for on the Airside? *

Special Features

Upload Current Registration/Mechanic Report Copy *

Browse

Add Vehicle 4

Vehicle Type

Private Vehicle (Staff)Vehicle (MVR Qualified)GSE (Ground Service Equipment)

Registration *

Registration Expiry *

Make *

Model *

Year

Serial/Chassis # (if not registered)

Reason for AUA - What will you use this vehicle for on the Airside? *

Special Features

Upload Current Registration/Mechanic Report Copy *

Browse

Upload GSE Risk Assessment & Safety Proceedure

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If GSE is wider than the Airside Apron Road, you must supply a risk assessment and SOP for operation showing safety protocol.

Section B - Criteria For Use

This Application Form must meet one or more of the following criteria for the issue of an AUA Permit to be approved.This vehicle will:

Please check as required *

Be directly involved with the operations or servicing of aircraftBe directly involved with the servicing of Ground Servicing Equipment (GSE)Be directly involved with the servicing, maintenance or construction of airside infrastructure, equipment, buildings or other airside facilities, and that these areas cannot be reached via the landsideHave a need or authority to carry out regulatory or law enforcement activities airsideRequire access to an operational facility located airside for the purpose of conducting duties (EG: ARFF Building)

Section C - Vehicle Markings & Beacon

All vehicles which are intended to be used on the airside must have a beacon and company signage displayed as described below. Upon application, proof of these must be supplied to DIA for the issue of an AUA permit to be approved (e.g. photos – these can be emailed to tcc.reception@adgnt.com.au or attached to this application).

Confirm Markings & Beacon *

A Rotating amber beacon displayed on top of the vehicle or highest point which is visible from all angles (360°)Signage – Operator/Company Name and/or Logo displayed clearly on the vehiclePrivate Vehicle (ARFFS or QF ENG staff)

Upload Photo of Vehicle *

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Section D: Communication Equipment

Is this vehicle required to operate on the maneuvering area and communicate with ATC? *

NoYes - please provide details of radio communication equipment. If a call sign is already issued, please advise current call sign below

Radio Fitted

Call Sign

Upload proof of radio fitting

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INSURANCE DETAILS

Please Note: Copies of Insurance Certificates must be attached to this Application Form. Insurance MUST cover the use of this vehicle airside.

Vehicle Insurance

Insurer *

Expiry Date *

Amount of Cover *

Upload Current Vehicle Insurance Copy *

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Public Liability Insurance

PL Insurer *

PL Insurance Expiry *

PL Insurance Cover Amount *

Upload Current Public Liability Insurance Copy

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Airside Vehicle Indemnity & Release Deed Poll

Organisations operating vehicles airside must have a current Airside Vehicle Indemnity & Release Deed Poll signed and on file. Click to view the Deed Pol

To confirm if a current copy is held on file, please contact the Terminal Control Centre on 08 8920 1822 or email tcc.reception@adgnt.com.au

Upload Airside Indemnity & Release Copy

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AUTHORISING APPLICANT DETAILS

To be completed by Company Authorised Signatory only. To confirm the authorizing signatories, please contact the Terminal Control Centre – 08 8920 1822 | tcc.reception@adgnt.com.au

I *

Of (company) *

Acknowledge that:

(i) I have read and understood the Airside Vehicle Control Handbook in relation to vehicle/equipment requirements

(ii) It is a condition of an AUA that the Vehicle comply with the Handbook and the Airports (Control of On-Airport Activities) Regulations 1997;

(iii) Failure to comply with the Handbook and/or the Regulations may result in the AUA being suspended or withdrawn;

(iv) Public Liability Insurance for an amount not less than AUD $20 million will be maintained;

(v) It is the Vehicle operator’s responsibility to ensure the vehicle/equipment meets the applicable industry standards and is maintained in safe working condition at all times;

(vi) Consent to ADG collecting, using and disclosing any personal information contained in this application form in accordance with the Privacy Act 1988 and the ADG Privacy Policy as detailed on our website.

Signed *

Draw signature|Type signatureClear

Date *

PAYMENT

Payment for AUA Permit/s must be made at the time of submission. Permit label batches are created every two (2) years, the expiry date is set by ADG and is non-negotiable.

AUA Application - $80.00 (inc GST)

The following payment methods are accepted: Credit Card, Payment on Collection (Credit Card, EFTPOS, Cheque), Billed Account. Please note we are now cashless operations.

Select the number or labels you are applying for *

Payment Type *

Payment on collectionMonthly Billed AccountCredit CardN/A - please state reason below

Amount

N/A Reason *

Total amount without CC Processing Fees

Credit Card Processing Fees

Payment Amount

Confirm Email Address for Tax Receipt *

Online Receipt Number *

ADMINISTRATION - OFFICE USE ONLY

Current Indemnity & Release on file *

YesNo

Correct display of operator logo and beacon *

YesNoN/A - ARFFS/QF Eng staff

Proof of Radio Installation *

YesNo

Is the Authorising Signatory valid? *

YesNo

List of Authorising SignatoriesCopy and paste list of approved singnatories from SDS. Upon submitting an email will be sent to the applicant requesting to resubmit with a correct signatory.

AUA Application Approved *

Yes - email confirmation will be sent to applicant to collect label and, if required, payNo - email sent to applicant for revision and resubmission.No - email confirmation will be sent to applicant with reason whyN/A (e.g. Already processed and paid for) - no email will be sent

Reason application not approved *

AUA Label 1

AUA Label 2

AUA Label 3

AUA Label 4

AUA Label 5

AUA Expiry Date

Date Application Processed *

Application Processed By *

Name *

Name

Database Updated *

Database Updated By *

Name *

Payment Receipt (if not paid online)

Online Receipt Number *

Payment Date

Payment Processed By

Name *

Credit Card *

Pay

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