Central Land Council
Mining Permit Application Form
The permits application engine has been recently updated, please report any errors or problems to:
permits@clc.org.au
Required fields are marked with
*
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.
Contact Details
Company Name:
*
Phone Number:
*
Fax Number:
Email Address:
*
Confirm Email:
*
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 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:
People to appear on the Permit
To add (additional) people to the permit fill in their details then click the Accept button. Note: All fields are required when adding a person
After you click Accept the text in the boxes will be transferred to textbox below. The textboxes above will now be empty
First Name
- First Name is required
Last Name
- Last Name is required
Role/Position:
- Role/Position is required
Important
You must click the Accept button after filling in the details above
Specific location/site to enter whilst on Aboriginal Land:
(Lease number)
Duration of permit
Entry Date:
Date Format: dd/mm/yyyy
Exit Date:
Date Format: dd/mm/yyyy
Nature of Work:
(please supply detailed explanation)
*
Transport Details
*
Motor Vehicle
Other: Specify...
Vehicle Details
To add a vehicle; fill in the details then click the "Accept" button.
Note: All fields are required to add a Motor Vehicle.
After you click Accept the text in the boxes will be transferred to textbox below. The textboxes above will now be empty
Make
- Make is required
Model
- Model is required
Rego
- Registration is required
State registered
Please Select -->
_______________
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
_______________
Outside Australia...
- State is required
Important
You must click the Accept button after filling in the details above
How do you want to receive your permit?
*
Hold for collection at CLC office; Alice Springs
Fax to the following number:
Email
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