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Get AU GNC-010 A

Used to apply for a licence to conduct activities specified in subclause 149(1) of the Coal Mine Health and Safety Regulation 2006. Application can be made by an individual or a corporation. LODGEMENT INSTRUCTIONS 1. You must complete all sections of this form. 2. You must lodge your application with New South Wales Department of Primary Industries (NSW DPI) at the address below. 3. You must sign each page of this application. 4. You must sign and date the declaration on the last page. APPLICAT.

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