Adding a Recorded Party to an existing Authority Certificate

Current Before you begin
Details of the existing Authority Certificate
Contact Details of the Authority Certificate Holder
Details of Agent or Representative
Details of the Recorded Party to be added to the Authority Certificate
Invoice and contact details of billing party
Complete

Before you begin

This application is to be made by the existing Authority Certificate Holder or their Agent.
The new Authority Certificate with Recorded Parties will be issued to the same name and address of the existing Authority Certificate Holder, in place of the existing Certificate.
The cost of this application will be 100 revenue units in accordance with the Northern Territory Aboriginal Sacred Sites Regulations 2004.

Please confirm you have the below information before you commence the application:

Details of the existing Authority Certificate

Details of the Recorded Party to be added to the Authority Certificate

Invoice and contact details of the billing party

Details of the existing Authority Certificate

Certificate Number

Works and use

Subject Land

Contact Details of the Authority Certificate Holder

Name of the person / entity (usually individual, organisation, joint ventures, partners or associates) that appears on the existing Authority Certificate:

Contact person name and title

Postal Address

City

State

Post code

Telephone No

Details of Agent or Representative

Only fill in this section if you are making an application on behalf of the above
existing Certificate Holder

Name

Contact person

Postal Address

City

State

Post code

Telephone No

Details of the Recorded Party to be added to the Authority Certificate

Recorded Party item
Name of person/entity Address Telephone No Email ABN/ACN Recorded party industry group Australian Government (including Australian Government statutory and other Australian Government-funded bodies such as the major Land Councils) NT Government (including NT statutory and other NT-funded bodies such as public schools) Local Government Non-Government Organisation (including Church groups, Greening Australia, Scouts, non-profit private schools) Tourism Mining Pastoral Agriculture / Aquaculture / Horticulture Other (including other business or individual applicants)

Name of person/entity

Address

Telephone No

ABN/ACN

Recorded party industry group

Australian Government (including Australian Government statutory and other Australian Government-funded bodies such as the major Land Councils)

NT Government (including NT statutory and other NT-funded bodies such as public schools)

Local Government

Non-Government Organisation (including Church groups, Greening Australia, Scouts, non-profit private schools)

Tourism

Mining

Pastoral

Agriculture / Aquaculture / Horticulture

Other (including other business or individual applicants)

Invoice and contact details of billing party

The cost of this application will be 100 revenue units in accordance with the Northern Territory Aboriginal Sacred Sites Regulations 2004

Name of person/entity

Contact person

ABN

Postal Address

City

State

Post code

Telephone No