Mineral Resources (Sustainable Development) Act 1990 (MRSDA)
ALL information required by Schedule 4 of the Mineral Resources (Sustainable Development) (Mineral Industries) Regulations 2013 must be provided or the application is invalid. Section 15 of the MRSDA also sets out additional requirements for Prospecting Licences.
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 St, Melbourne VIC 3000.
The information may be disclosed to the Victoria Police, the Australian Securities and Investment Commission and other government organisations for the purpose of administering or enforcing the Act 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
Prospecting Licence no:
YOU MUST SUBMIT THIS APPLICATION TO THE EARTH RESOURCES INFORMATION CENTRE, LEVEL 15, 1 SPRING ST MELBOURNE VICTORIA 3000 (GPO Box 2392, MELBOURNE VICTORIA 3001) RANKING IS GIVEN ACCORDING TO THE DAY THE APPLICATION IS RECEIVED BY THE EARTH RESOURCES INFORMATION CENTRE
APPLICATION FOR SECTION 25A EXPLORATION LICENCE HOLDER CONSENT WAIVER
Note: ONLY APPLICABLE IF APPLICATION IS WITHIN AN EXPLORATION LICENCE THAT HAS BEEN REGISTERED FOR MORE THAN 2 YEARS (SEE QUESTION 6).
Manager, Earth Resources Tenements
Department of Economic Development, Jobs, Transport and Resources
Earth Resources Regulation
1 Spring Street
MELBOURNE VIC 3000
ATTENTION: EARTH RESOURCES INFORMATION CENTRE
I/We have applied for a prospecting licence for
The land is covered by Exploration Licence Number
Exploration Licence was first registered on
I/We are unable to obtain the written consent of the holder of the Exploration Licence (evidence attached).
For office use only
That the application is for a prospecting licence; and
That the covering exploration licence has been registered for two years or more; and
That granting of this prospecting licence would not cause the total number of prospecting licences granted by virtue of section 25A (or mining licences granted by virtue of section 25A before 1 February 2012) within this exploration licence to be more than one tenth the number of graticular sections of the exploration licence; and
That there is no other prospecting licence granted by virtue of section 25A (or mining licence granted by virtue of section 25A before 1 February 2012) within this exploration licence that is one kilometre or less from this application (from closest point).