Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title ☐ Mr ☐ Mrs ☐ Ms ☐ Other: Name/s A body corporate or Greenmount Resources Pty Ltd (ACN: 604 613 650) other entity formed at law (include ACN) If applying as a company or incorporated body, please also supply the registered business office address. All written correspondence from the Department of Water and Environmental Regulation (DWER) or Department of Mines, Industry Regulation and Safety (DMIRS) regarding your application will be made via email. You must provide a valid email address through which you agree to accept all electronic correspondence. The postal/business address supplied must be a physical address to which a statutory notice under the EP Act may be delivered.1 Provide contact details for the above individual or body corporate. Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line): Phone (mobile): Email address If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address 1 The provision of a postal/business address is required as any statutory notices or directions under the relevant legislation are required to be served by post or personally [sections 75 and 76 Interpretation Act 1984 (WA)].
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Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title ☐ Mr ☐ Mrs ☐ Ms ☐ Other: Name/s A body corporate or Greenmount Phosphate Resources Pty Ltd (ACN: 604 613 650) Limited trading as Christmas Island other entity formed at Phosphates (ACN: 009 396 543) law (include ACN) If applying as a company or incorporated body, please also supply the registered business office address. All written correspondence from the Department of Water and Environmental Regulation (DWER) or Department of Mines, Industry Regulation and Safety (DMIRS) regarding your application will be made via email. You must provide a valid email address through which you agree to accept all electronic correspondence. The postal/business address supplied must be a physical address to which a statutory notice under the EP Act may be delivered.1 Provide contact details for the above individual or body corporate. Contact person (and n/a position, if applicable) Company name Phosphate Resources Limited trading as Christmas Island (if applicable) Phosphates Postal / business address Phone (fixed line): Phone (mobile): Email address If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address 1 The provision of a postal/business address is required as any statutory notices or directions under the relevant legislation are required to be served by post or personally [sections 75 and 76 Interpretation Act 1984 (WA)].
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