Filming and Photography on

Application Form Airports (NTA) consists of Darwin International (DIA), Airport (ASA) and Airport (TCA). NTA filming and photography applications must be lodged five working days before the proposed activity. Before completing this application, the NTA Filming and Photography on Airport Terms and Conditions should be read and understood. Completed applications must include:  full applicant and request details  an attached copy of the applicant’s Public Liability Insurance Certificate for $20million or greater  safety plan if required. Approved applications will receive a Location Release which the crew must keep at all times while on location. Please refer to the contact details at the end of this application for all filming and photography enquiries.

Part 1: Applicant details

Name of organisation

ABN

Name of applicant

Position/title

Phone

Email

Part 2: Details of filming request

At which NTA airport do you wish to film?

Darwin International Airport

Starting from (time and date)

Finishing (time and date)

What is the purpose of the film/photography activity?

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In which airport locations will filming occur? Please provide specific detail under relevant headings (e.g. where in the terminal, which tenant etc.). Please note that a Safety Plan is required if persons other than crew can enter the filming/photography area.

Terminal/car parks

General Aviation

Tenant property

Other

Airside (airside access is highly restricted)

Do you have a current ASIC card?

Yes No

Who will be attending on the day of filming?

Full name/s Position/title Contact phone

Do you have any parking requests? Normal airport parking conditions will apply unless organised and approved prior to filming beginning.

Will airport, airline or tenant branding be visible in the end product?

No Yes (please detail below)

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Part 3: Acknowledgement

I have attached a Safety Plan if persons other than crew can enter the filming/photography area.

I have attached a current Certificate of Insurance for $20million or greater.

By submitting this application, I acknowledge that I have read, understood and agree to the Terms and

Conditions of Filming and Photography on NTA and that the application information is true and correct.

The Applicant hereby releases NTA, its employees, officers, agents and contractors from all and any claims it may have for personal injury, death or damage to personal property it may suffer arising out of or in any way connected with the activities the subject of this Application. The Applicant hereby indemnifies and will keep indemnified NTA, its employees, officers, agents and contractors from and against any action claim or demand made against NTA by the Applicant (or any individual forming part of the Applicant) or any third party made for or in relation to any loss or damage the Applicant causes (or to the extent of its contribution) to any person or property while on or about the Airport premises.

Applicant name

Signed

Date

Part 4: Application submissions Application forms can be faxed or emailed to the relevant airport:

ATTN: Communications and Media Darwin International Airport F. +61 8 8920 1800 E. [email protected]

ATTN: ASA Filming/Photography request Alice Springs Airport F. +61 8 8955 5046 E. [email protected]

ATTN: TCA Filming/Photography request Tennant Creek Airport F. +61 8 8955 5046 E. [email protected]

All general filming and photography enquiries should be directed to:

NTA Communications and Media P. +61 8 8920 1814 E. [email protected]

NORTHERN TERRITORY AIRPORTS T: +61 8 8920 1811 | F: +61 8 8920 1800 | E: [email protected] PO Box 40996 Casuarina NT 0811 | 1 Fenton Court Eaton NT 0820

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