Victorian Consolidated Regulations

HERITAGE (UNDERWATER CULTURAL HERITAGE) REGULATIONS 2017 - SCHEDULE 2

Schedule 2—Form for the use of registered shipwrecks or registered shipwreck artefacts

Regulation 6

    1.     Applicant details

Title:

First name:

Surname:

Address:

Email address:

Telephone:

Is this application on behalf of a company or organisation? *Yes/*No

What is its name?

What is your position title?

    2.     Details of registered shipwreck or registered shipwreck artefact

Name of shipwreck or artefact:

Location (if known):

Victorian Heritage Register number (if known):

Description of shipwreck or artefact:

    3.     Details of the activities to be undertaken

Purpose of activity:

≤     Study

≤     Conservation

≤     Exhibition

≤     Other [ please state ]:

Proposed use:

Preferred start date of permit:

Proposed end date of permit:

    4.     Permit fee

Fee to be paid:

Note:     If these activities are being undertaken by a community group or for conservation, educational research or public safety, it may be possible to apply for a waiver of the permit fee. Please consult Heritage Victoria in relation to your application.

    5.     Payment options
    6.     Applicant statement

I state that the information I have given on this form is correct to the best of my knowledge.

Name:

Signature:

Date:

*delete if not applicable