Name(Required) First Last Company Name(Required) Address(Required) Street Address Town/Suburb Postcode TelephoneMobile Phone(Required)Email(Required) Location on footpath from which busking will occur(Required)For example, shop front or street address Date of busking(Required) MM slash DD slash YYYY Start time of busking(Required) Hours : Minutes AM PM AM/PM End time of busking(Required) Hours : Minutes AM PM AM/PM Description of activity and equipment, and/or genre being playedType of Permit(Required) Annual Temporary Dates Permit is Required(Required) Please provide a copy of your Public Liability Insurance Certificate of Currency with this application.Max. file size: 128 MB.Only upload if permit is required.Declaration(Required) I declare that all the above information is true and correct and I agree to abide by the conditions of the permit. Furthermore I understand and acknowledge that any fee paid with this application is not refundable should this application be refused.Signature(Required) Reset signature Signature locked. Reset to sign again