Mining permits are issued for access to Aboriginal land pursuant to an Exploration or Mining Agreement.
If your application is successful a permit will be issued for a specific purpose, a specific place/s and a specific period. The permit will not allow you to enter Aboriginal land for any purpose other than that stated on the permit. The permit may be issued subject to conditions.
Applicant(s) details
Mining Company Name:		*
Phone Number:		*
Fax Number:
Email Address:		*
Confirm Email Address:		*
Address
Street Address:		*
City:		*
State:	Please Select --> _______________ Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia _______________ Outside Australia...	*
Post Code:		*
Country:		*
Postal Address (if different from above):
Street Name:
City:
State:	Please Select --> _______________ Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia _______________ Outside Australia...
Post Code:
Country:
Name(s) of applicants		*

Person 1:		Position:
Person 2:		Position:
Person 3:		Position:
Person 4:		Position:
Person 5:		Position:

If more then 5 applicants please attach documentation as required. (Document will be uploaded when form is submitted.)

Specific location/site to enter whilst on Aboriginal Land: (Lease number)	*

Duration of permit				*
Entry Date
Exit Date
Nature of Work: (please supply detailed explanation)				*
How will you be travelling?				*
Motor Vehicle Aircraft Other: Specify...Vehicle Details

Make:
Model:
Registration:
State

How do you want to receive your permit?	*
Held for collection at CLC office; Alice Springs Fax to the following number:
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