Co-funded Energy Analysis Program – Series 08 – Geophysics Acquisition (Energy)

This is a preview of the Co-funded EAP - GEOPHYSICAL ACQUISITION application form - Series 8 form. When you’re ready to apply, click Fill Out Now to begin.

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1. Co-funded Energy Analysis Program - Geophysics Acquisition Application Form(Not Applicable)
2. Project details(Not Applicable)
3. Project proposal(Not Applicable)
4. Acknowledgement of co-funded program conditions(Not Applicable)
5. Survey(Not Applicable)

Co-funded Energy Analysis Program - Geophysics Acquisition Application Form

* indicates a required field.

Program reference details - Auto populated (Not Applicable)

Grant Program

This field is read only. Auto populated. The program this submission is in.

Grant Round Name

This field is read only. Auto populated. The round this submission is in.

Application Number

This field is read only. Auto populated. The identification number or code for this submission.

The Co-funded Energy Analysis Program - GEOPHYSICS ACQUISITION is for petroleum and geothermal exploration projects only. (Not Applicable)

Is your project searching for a petroleum or geothermal resource?

Yes

Clear

WARNING (Not Applicable)

You have selected 'no' to the above question. If you are not searching for a petroleum or geothermal resource please DO NOT continue with this form. If you are exploring for a mineral resource, please select the Co-funded Geophysics Program on the program listing page.

Acknowledgement of regulation compliance (Not Applicable)

Is the applicant currently compliant with DEMIRS Title, Environmental and Safety regulations such that it has no outstanding fines or forfeiture notices.

Yes

Clear

If the answer is NO, it does not stop you applying but may result in point deduction from the assessment score.

Contact details (Not Applicable)

Applicant *

Applicant ABN *

The ABN provided will be used to look up the following information.

Click Lookup above to check that you have entered the ABN correctly.

Information from the Australian Business Register
ABN
Entity name
ABN status
Entity type
Goods & Services Tax (GST)
DGR Endorsed
ATO Charity Type	More information
ACNC Registration
Tax Concessions
Main business location

Must be an ABN. (Company/grant recipient)

Applicant Address *

Return to address search

Address line 1

Address line 2

Suburb/Town	State/Province	Postcode

Country

Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required.

Applicant Website

Must be a URL.

Primary Project Contact *

First name	Last name

Position *

(e.g. director, exploration manager, geologist).

Contact Phone Number *

Must be an Australian phone number.

Contact Email Address *

Must be an email address.

Secondary contact information (Not Applicable)

Please provide details of a secondary person who can be contacted regarding project details.

Secondary Contact

First name	Last name

Position

Contact Phone Number