A statutory declaration setting out the reasons for the requested amendments must accompany the application if it is made under the Mining Regulations 1981 regulation 84E.
The holder or applicant must include their full name (individual or company) and service address. The Mining Regulations 1981 regulation 84A(1) defines service address.
This form may be used to lodge particulars of a designated tenement contact for the first time, to change a designated tenement contact, or to change the particulars of a designated tenement contact. The holder or applicant must include the full name (individual or company), postal address and email address of their designated tenement contact, to be used for correspondence. A holder or applicant may only have 1 designated tenement contact for a particular mining tenement or application (although multiple holders or applicants may have the same designated tenement contact). A holder or applicant may nominate themselves as the designated tenement contact.
Optional information may be provided such as an email address or telephone number for the holder or applicant or the telephone number of the designated tenement contact.
If this form is signed by a person who is an employee of the holder or applicant, the person must state the person’s full name and the position in which the person is employed.
A reference in this form to a holder includes a reference to a transferee or devolvee in relation to a tenement prior to them becoming the holder of the tenement.
To lodge a Form 30 online, please go to
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