Schedule 1 - Notice of Intention to Hold a Public Assembly

Public Assemblies are authorised by the NSW Commissioner of Police under Section 23 of the Summary Offences Act 1988.

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To the Commissioner of Police

First Name*

Surname*

Address*

Town*

State*

Postcode*

Telephone number*

Email address*

Organisation you represent*

Capacity/Title*

Summary Offences Act Contact details

Notices for the purpose of the Summary Offences Act 1988 may be served upon me at:*

the above address

another address (complete below)

Assembly Details

A public assembly, not being a procession, is a gathering of people in a single place for a period of time.
A public assembly, being a procession, is a gathering of people in a place which proceeds as a group to another place or places.

This is notice of*

Date of Assembly/Procession*

The purpose of the assembly is

Approximate number of persons involved*

Assembly place (address)*

Assembly time (hh:mm AM/PM)*

Procession start time (hh:mm AM/PM)*

Assembly/Procession dispersal time (hh:mm AM/PM)*

Procession Route Details

Please specify the route, including any stopping places, the approximate duration of any stop, and the approximate time of termination.

Procession Route*

You have the option below to upload a diagram of the route. Any files you upload should be less than 10MB (ten megabytes) in size and should be in JPG or PDF formats.

Optional - upload diagram of route

Attach Traffic Control Plan*

Special Characteristics of Assembly / Procession

The following special characteristics associated with the assembly would be useful for the Commissioner of Police to be aware of in regulating the flow of traffic or in regulating the assembly.

Number of vehicles involved*

Number of floats involved*

Types and dimensions of floats and vehicles

Number of bands, musicians entertainers which will entertain or address the assembly

Numbers and types of animals

Any other special characteristics/features

Public Liability Insurance

Please upload a copy of your current Public Liability Insurance certificate. Any files you upload should be less than 10MB (ten megabytes) in size and should be in JPG or PDF formats.

Upload Public Liability Insurance Certificate*

Declaration

I take responsibility for organising and conducting the proposed assembly and understand that this form will be forwarded to NSW Police*

Date*

Privacy Statement

Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council. Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (<~~DocAnnotation.type.56~~> <~~DocAnnotation.size.56~~>).

Mandatory field(s) marked with *