Box 1 Matters where the Department will deal exclusively Matters where the Department will deal directly with with the Agent: the Operator, but may also provide copies of correspondence to the Agent: All matters relating to mining activities under the Directions to undertake actions on a mining site Mining Management Act not specifically mentioned pursuant to Part 7 and Part 10 of the Mining in Box 2. Management Act. SECTION 4: EXECUTION BY OPERATOR EXECUTED AS A DEED by ………………………………………………………………………………. (name of Operator) on ……………………………………………………………………… (date): ………………………………………… Signature of Director/Operator ………………………………………… Print name of Director/Operator SECTION 5: EXECUTION BY AGENT EXECUTED AS A DEED by ………………………………………………………………………………. (name of Agent) (date): on………………………………………………………………………. ………………………………………… Signature of Director/Agent ………………………………………… Print name of Director/Agent
Box 1 Matters where the Department will deal exclusively with the Agent: Matters where the Department will deal directly with the Operator, but may also provide copies of correspondence to the Agent: All matters relating to mining activities under the Mining Management Act not specifically mentioned in Box 2. Directions to undertake actions on a mining site pursuant to Part 7 and Part 10 of the Mining Management Act. SECTION 4: EXECUTION BY OPERATOR EXECUTED AS A DEED by ………………………………………………………………………………. (name of Operator) on ……………………………………………………………………… (date): ………………………………………… Signature of Director/Operator ………………………………………… Print name of Director/Operator SECTION 5: EXECUTION BY AGENT EXECUTED AS A DEED by ………………………………………………………………………………. (name of Agent) on………………………………………………………………………. (date): ………………………………………… Signature of Director/Agent ………………………………………… Print name of Director/Agent
af7-006-authority-to-deal-with-agent-form.docx