Select your payment method Direct deposit Account name: DPT Planning & Environment Resources & Energy – BSB: 032001 Account number: 180732 Reference: TRF [title type and number] (eg: TRF PEL123) If you are paying by direct deposit, attach a copy of the receipt issued by your banking authority as evidence that you have paid. Cheque made payable to Planning & Environment Resources & ‘DPT – Energy’ Credit card (enter details below) Checklist of items to be included with this application Item Reference Consent of the proposed transferee Question 5 Technical advice support documentation Question 6 Statement of financial capability, corporate compliance and environmental Question 7 performance history Prospecting title work program (if applicable) Question 8 Rehabilitation cost estimate Question 9 For payments made by direct deposit proof of payment Question 11 – For agents only evidence of appointment as agent, if this has not been – Question 13 previously supplied to the division Declaration This form should be signed by the transferor (in the case of a company a duly authorised officer) or an agent authorised to act on the transferor’s behalf.
Select your payment method Direct deposit Account name: DPT Planning & Environment – Resources & Energy BSB: 032001 Account number: 180732 Reference: TRF [title type and number] (eg: TRF PEL123) If you are paying by direct deposit, attach a copy of the receipt issued by your banking authority as evidence that you have paid. Cheque made payable to ‘DPT Planning & Environment – Resources & Energy’ Credit card (enter details below) Checklist of items to be included with this application Item Reference Consent of the proposed transferee Question 5 Technical advice support documentation Question 6 Statement of financial capability, corporate compliance and environmental performance history Question 7 Prospecting title work program (if applicable) Question 8 Rehabilitation cost estimate Question 9 For payments made by direct deposit – proof of payment Question 11 For agents only – evidence of appointment as agent, if this has not been previously supplied to the division Question 13 Declaration This form should be signed by the transferor (in the case of a company a duly authorised officer) or an agent authorised to act on the transferor’s behalf.
PTD2-Application-for-approval-of-transfer-of-a-petroleum-title.DOCX