(1) Provide the relevant licence number
Please tick the appropriate box below:
(The application is invalid if you cannot tick one of these questions below)
I/We are the holder(s) of the EL/PL/RL
A letter of consent from the EL/PL/RL holder is attached
Note: The application must be accompanied by the prescribed fee. Refer to Fees and charges
Personal information provided by you for the purpose of your application and any related purpose (including the issue of a licence) is collected, used and stored by DEDJTR to assist in the performance of duties under the MRSDA.
You have the right of access to this information by contacting the Earth Resources Information Centre, Department of Economic Development, Jobs, Transport and Resources, Level 15, 1 Spring Street, Melbourne VIC 3000.
The information may be disclosed to the Victoria Police, the Australian Securities and Investments Commission and other government organisations for the purpose of administering or enforcing the MRSDA or a relevant Act. Limited information may be available to the public for the purpose of land use advice.
Office Use Only
Delivered: In person / By post
Mining Licence no: District:
|YOU MUST SUBMIT THIS |
THE EARTH RESOURCES
LEVEL 15, 1 SPRING STREET
MELBOURNE VICTORIA 3000
(GPO BOX 2392,
MELBOURNE VICTORIA 3001)
RANKING IS GIVEN ACCORDING TO
THE DAY THE APPLICATION IS RECEIVED
THE EARTH RESOURCES INFORMATION CENTRE