SUBMISSION COVER SHEET
APPLICATIONS FOR DECLARATION OF THE 
JET FUEL SUPPLY INFRASTRUCTURE SERVICES AT SYDNEY AIRPORT 
Please complete and submit this form along with your submission by no later than 5.00pm on Monday 13 February 2012 as follows:
1.	By email to:		              AND	          2.	In hard copy to:
jetfuel@ncc.gov.au 				Submissions – Jet fuel
							National Competition Council
GPO Box 250
Melbourne  VIC  3001

Individual/Company/
Organisation:                  ________________________________________________________
		
Address:		________________________________________________________

Suburb/town:		______________________  State: __________  Postcode: ________

Principal contact:	________________________________________________________

Position/title:		________________________________________________________

Telephone:		________________________   Fax:  __________________________

Email address:		________________________________________________________

Declaration
I declare that, to the best of my knowledge and belief, the information provided in the submission is true, correct and complete, that complete copies of supporting materials or evidence have been provided and/or clearly identified, and that all estimates are identified as such and are the best estimates of the underlying facts and that all the opinions expressed are sincere.

_____________________________			_____________________________
Signature of authorised person				Office held/title/position

_______________________________			_____________________________
(Print) Name of authorised person			Date

Note:  If the submitting party is a corporation or organisation, state the position occupied in the corporation by the person signing. If signed by a solicitor on behalf of the submitting party, this fact must be stated.

Confidential information
Please indicate if your submission:	
	contains NO confidential material	
	contains SOME confidential material (in which case please provide two copies of the submission – one with all of the confidential information removed and this copy with the confidential information clearly identified and marked)