Description: Map: Attach a separate sheet if necessary FOSSICKING DETAILS Details of the nature of fossicking including equipment to be used Duration of intended fossicking What do you intend to fossick for FOSSICKER’S SIGNATURE AND DATE Note: all members are required to carry photographic identification at all times. For further information, please contact: Department of Mines and Energy Department of Mines and Energy Mineral Titles Division Mineral Titles Division 5th Floor Centrepoint Building GPO Box 4550 48-50 Smith Street, DARWIN NT 0800 DARWIN NT 0801 Phone: 08 8999 5322 Fax: 08 8981 7106 Email: titles.info@nt.gov.au Website:
Description: Attach a separate sheet if necessary Map: FOSSICKING DETAILS Details of the nature of fossicking including equipment to be used Duration of intended fossicking What do you intend to fossick for FOSSICKER’S SIGNATURE AND DATE Note: all members are required to carry photographic identification at all times. For further information, please contact: Department of Mines and Energy Mineral Titles Division 5th Floor Centrepoint Building 48-50 Smith Street, DARWIN NT 0800 Department of Mines and Energy Mineral Titles Division GPO Box 4550 DARWIN NT 0801 Phone: 08 8999 5322 Fax: 08 8981 7106 Email: titles.info@nt.gov.au Website:
Form-Fossicking-Notice-Request.docx