Energy Pipelines Regulations 2001

FORM 1

regulation 4

Energy Pipelines Act 1981

INSTRUMENT OF TRANSFER OF LICENCE

TO THE MINISTER FOR MINES AND ENERGY, NORTHERN TERRITORY

......................................(name of transferor), the holder of licence number .............. granted by the Minister on the ............................ day of ............................

..., in consideration of …....................................……………

………. the receipt of which is acknowledged by this instrument, transfers

*Insert to * .......................................………………………………………..

name of

transferee

*Insert of * ..............................………………………………………...........

address of

transferee

called the transferee, all right, title and interest in the licence and the transferee by this instrument accepts the transfer, subject to the Energy Pipelines Act 1981 and the Regulations made under it, and agrees to be bound by the terms and conditions of the licence.

In witness of the above the parties to the transfer have executed this document this .......... day of .............

................... ….................

Witness Signature of

transferor

(If a corporation,

to be executed

under its common

seal.)

................... ...….............

Witness Signature of

transferee

I approve the above transfer.

Dated this ............. day of ............. 20...

.....………………......................

Minister for Mines and Energy

I have this ............ day of ............, 20.., at the hour of

............ o'clock in the ....... noon, registered the transferee as the holder of licence number ...............

.....................

Registrar