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Dealing Number: (Office Use Only) Mines ABN 59 020 847 551 APPLICATION TO RECORD CHANGE OF NAME Petroleum and Gas (Production and Safety) Act 2004 Section 558A Petroleum Act 192 — Section 80I Form
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To fill out an application to record change, follow these steps:

01
Begin by obtaining the application form. This can usually be done by visiting the relevant department or organization's website or by contacting them directly.
02
Read the instructions carefully. The application form may come with specific guidelines or requirements that need to be followed. Familiarize yourself with these before proceeding.
03
Provide your personal information. The application form will likely ask for details such as your name, address, contact information, and any other relevant identification information. Fill in this section accurately and completely.
04
Clearly state the nature of the change you wish to record. Whether it is a change of address, change of name, or any other alteration, make sure to clearly specify what needs to be recorded.
05
Prepare supporting documentation. Depending on the nature of the change, you may be required to provide additional documentation. This could include legal documents, proof of identification, or any other relevant paperwork. Make sure to gather and attach these documents as instructed.
06
Review the completed application. Before submitting, review the entire form to make sure all information is accurate and complete. Double-check that all supporting documents are attached as required.
07
Submit the application. Follow the instructions provided on how to submit the application. This could include mailing it, submitting it in person, or submitting it online through a designated portal. Be sure to meet any deadlines and provide any necessary fees, if applicable.

Who needs an application to record change?

01
Individuals undergoing a change of address, either due to relocation or moving to a new residence.
02
Individuals who have legally changed their name, such as through marriage, divorce, or other personal circumstances.
03
Businesses or organizations that have undergone changes such as a change in ownership, legal structure, or contact information.
Please note that the specific requirement for an application to record change may vary depending on the jurisdiction and the nature of the change being recorded. It is always advisable to consult the relevant department or organization for precise instructions.
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An application to record change is a formal request to update or modify information in a record or document.
The person or entity responsible for the record or document is typically required to file the application to record change.
To fill out an application to record change, you need to provide the required information and follow the instructions provided in the application form.
The purpose of an application to record change is to ensure that accurate and up-to-date information is reflected in the record or document.
The specific information required on an application to record change may vary depending on the nature of the record or document. Generally, it would include details of the change being requested and any supporting documentation.
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