You must have JavaScript enabled to use this form. Applicant Details First name Last name Business/Trading name Business Facebook URL Phone Email Social Media Pages Applicant Details Applicant Details Applicant/Business address Street address Address line 2 City State/Territory - Select -Northern TerritoryAustralian Capital TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Business Description Type of mobile set up Truck/Van Trailer Cart Information for Assessment Vehicle Dimensions Please upload a photo of your vehicle set up for trading One file only.8 MB limit.Allowed types: gif, jpg, jpeg, png. Food description Please upload your menu One file only.8 MB limit.Allowed types: gif, jpg, jpeg, png, txt, rtf, html, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg. Waste management Please upload your Waste Management Plan One file only.8 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. Please describe how your service will benefit the community Business Compliance Business Compliance explanation If your application is successful, your mobile food operation must be a registered business AND be registered as a food business with the NT Department of Health. If you are registered already, please upload these documents now. Files Business registration One file only.8 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, odt. Food business registration One file only.8 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, odt. Insurance Public and Product Liability Insurance is required to the value of $20,000,000 for any one occurrence. Please upload a copy of your PLI below. Insurance file One file only.8 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx. Operation preferences Please review all the locations and choose at least one location. Choosing more than one location is recommended in case your initial selection(s) are not successful. If you are seeking a locations with access to power and water these locations are listed with the suffix [P/W]. If you are considering a location that is not listed here, please provide details in the Additional Information section if not already detailed in your business plan. Permit type 3 months 6 months 12 months How long does it take to set up your site? How long does it take to pack up your site? 1st Preference Select location - Select -Rapid Creek Foreshore - Fishing Platform Car ParkRapid Creek Foreshore - Chapman Road Car Park3Rapid Creek Foreshore - Windsurfers CornerNightcliff Foreshore - Nightcliff Pool West [P/W]Nightcliff Foreshore - Nightcliff Pool East [P/W]Nightcliff Foreshore - Nightcliff Pool Car Park [P/W]Nightcliff Foreshore - Nightcliff Jetty West [P/W]Nightcliff Foreshore – Nightcliff Jetty CentralNightcliff Foreshore - Nightcliff Jetty East [P/W]Jingili Watergardens - Jingili Watergardens Northern Car ParkEast Point - Dudley PointEast Point - Lake Alexander (Power)CBD - Tamarind Park 1 [P/W]CBD - Tamarind Park 2 [P/W]CBD (Unspecified Location)Bicentennial Park (Power)Bundilla Beach Reserve Other Location Note: [P/W] = Access to power and water. Trading time Breakfast 7am to 11am. Lunch 11am to 4pm. Dinner 4pm to 10pm Re-order Day Breakfast Lunch Dinner Weight Operations Day - None -MondayTuesdayWednesdayThursdayFridaySaturdaySunday Breakfast Lunch Dinner Item weight Add more items more items 2nd Preference Select location - None -Rapid Creek Foreshore - Fishing Platform Car ParkRapid Creek Foreshore - Chapman Road Car ParkBundilla Beach Car Park (Power) Rapid Creek Foreshore - Windsurfers CornerNightcliff Foreshore - Nightcliff Pool West [P/W]Nightcliff Foreshore - Nightcliff Pool East [P/W]Nightcliff Foreshore - Nightcliff Pool Car Park [P/W]Nightcliff Foreshore - Nightcliff Jetty West [P/W]Nightcliff Foreshore - Nightcliff Jetty East [P/W]Nightcliff Foreshore – Nightcliff Jetty CentralJingili Watergardens - Jingili Watergardens Northern Car ParkEast Point - Dudley PointEast Point - Lake Alexander (Power)CBD - Tamarind Park 1 [P/W]CBD - Tamarind Park 2 [P/W]CBD (Unspecified Location)Bicentennial Park (Power)Bundilla Beach Reserve Other Location Note: [P/W] = Access to power and water. Trading time Breakfast 7am to 11am. Lunch 11am to 4pm. Dinner 4pm to 10pm Re-order Day Breakfast Lunch Dinner Weight Operations Day - None -MondayTuesdayWednesdayThursdayFridaySaturdaySunday Breakfast Lunch Dinner Item weight Add more items more items 3rd Preference Select location - None -Rapid Creek Foreshore - Fishing Platform Car ParkRapid Creek Foreshore - Chapman Road Car ParkBundilla Beach Car Park (Power) Rapid Creek Foreshore - Windsurfers CornerNightcliff Foreshore - Nightcliff Pool West [P/W]Nightcliff Foreshore - Nightcliff Pool East [P/W]Nightcliff Foreshore - Nightcliff Pool Car Park [P/W]Nightcliff Foreshore - Nightcliff Jetty West [P/W]Nightcliff Foreshore - Nightcliff Jetty East [P/W]Nightcliff Foreshore – Nightcliff Jetty CentralJingili Watergardens - Jingili Watergardens Northern Car ParkEast Point - Dudley PointEast Point - Lake Alexander (Power)CBD - Tamarind Park 1 [P/W]CBD - Tamarind Park 2 [P/W]CBD (Unspecified Location)Bicentennial Park (Power)Bundilla Beach Reserve Other Location Note: [P/W] = Access to power and water. Trading time Breakfast 7am to 11am. Lunch 11am to 4pm. Dinner 4pm to 10pm Re-order Day Breakfast Lunch Dinner Weight Operations Day - None -MondayTuesdayWednesdayThursdayFridaySaturdaySunday Breakfast Lunch Dinner Item weight Add more items more items Additional Information Additional information message Please provide or upload any additional information below Upload file One file only.8 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, odt. Upload file One file only.8 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, odt. Upload file One file only.8 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, odt. Conditions I have read the Conditions to Street Food Vending Permits. Yes Yes Compliance We acknowledge compliance with Street Food Vending guidelines and regulatory requirements and relevant regulations for my business. Yes Yes Leave this field blank
