E-mail Address: Telephone number: ( ) NOTE: The above address is valid for THIS Instrument of Dealing transaction only. DETAILS OF MINERAL TITLES Mineral Title Type Mineral Title Number Applicant/Title holder NOTE: This devolution does not constitute a transfer however the devolve has all of the rights to deal with the – application, mineral title or interest as did the holder but must do so in accordance with the terms of the Will or order of the Court. EXECUTION OF DOCUMENTS Companies: This instrument is to be executed in accordance with s127 of the Corporations Act 2001, or by a person (i.e. agent or representative. …………………………………….. (Director - Signature) ……………………………………… (Authorised Representative - Signature) .………………………….………… (Print Name) ……………………………………… (Print Name) ……………………………….……. (Director / Secretary - Signature) ……………………………….…….. (Print Name) Individuals: This instrument is to be executed by the parties and witnessed by a person who has attained the age of 18 years.
E-mail Address: Telephone number: ( ) NOTE: The above address is valid for THIS Instrument of Dealing transaction only. DETAILS OF MINERAL TITLES Mineral Title Type Mineral Title Number Applicant/Title holder NOTE: This devolution does not constitute a transfer – however the devolve has all of the rights to deal with the application, mineral title or interest as did the holder but must do so in accordance with the terms of the Will or order of the Court. EXECUTION OF DOCUMENTS Companies: This instrument is to be executed in accordance with s127 of the Corporations Act 2001, or by a person (i.e. agent or representative. …………………………………….. (Director - Signature) .………………………….………… (Print Name) ……………………………………… (Authorised Representative - Signature) ……………………………………… (Print Name) ……………………………….……. (Director / Secretary - Signature) ……………………………….…….. (Print Name) Individuals: This instrument is to be executed by the parties and witnessed by a person who has attained the age of 18 years.
af28-devolution-mcs-authorised-holdings.docx