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Schedule 10 Application for Renewal of Exploration Licence

Application for Renewal of Exploration Licence No

Mineral Resources (Sustainable Development) Act 1990 - Section 29(1)

Mineral Resources Development Regulations 2002 - Regulation 22

1. Name and address of applicant(s) (if the applicant is a company, the registered address of the company):

2. Correspondence and Email Addresses:

NOTES:

  1. Applications made by a company must be signed by a company director or company secretary or alternatively by a person who provides written evidence that he or she is authorised to act on behalf of the company with respect to the application.
  2. If an application is made and submitted by a person acting on behalf of another party, the applicant must provide written evidence that he or she is authorised to act on behalf of that other party with respect to the application.