INDEPENDENT STATE OF PAPUA NEW GUINEA MINERAL RESOURCES AUTHORITY (MRA)
FORM TMP-1 REGISTRATION FOR THE MRA ONLINE MINING CADASTRE PORTAL SECTION A: PURPOSE OF REGISTRATION I wish to make use of the Mining Cadastre Portal on my own behalf Complete section A, B, D Please provide: Proof of identity (passport or ID card)
I wish to make use of the Mining Cadastre Portal on behalf of a company, either as an employee or agent of that Company Complete sections A, B, C, D Please provide: Proof of identity (passport or ID card) Proof of company registration (certified copy of certificate of incorporation) Signed letter of authority to use the Mining Cadastre Portal on behalf of the Company
I am already a Registered User on the Mining Cadastre Portal and would like to act as an employee or agent of another Company Complete sections A, B, C, D Please provide: Proof of identity (passport or ID card) Proof of company registration (certified copy of certificate of incorporation) Signed letter of authority to use the Mining Cadastre Portal on behalf of the Company This registration form and associated documents must be submitted in person to Mining Haus, Poreporena Freeway, Port Moresby, Papua New Guinea Any queries may be submitted by email to
[email protected].
ADDENDA FORMS If you are / have been, or the company you represent is / has been, the legal owner of mineral tenements in Papua New Guinea, then additionally complete Addendum TMP-1A. If there are additional users that you wish to add for the same company at the same time, then additionally complete Addendum TMP-1B for each user. Number of additional users:
Papua New Guinea Mineral Resources Authority Form TMP1: Registration for access to the MRA Online Mining Cadastre Portal
SECTION B: DETAILS FOR THE AUTHORISED USER Surname First Names Email Address (used for login and email notifications)
Mobile Number (used for SMS notifications)
e.g. +44822354111 not +44(0)822354111
Mr
Title Identity Number
Mrs
Ms
Dr
and / or
Passport Number Nationality Date of Birth Gender
d
d Male
/ m m / y y y y Female
Physical Address Line 1 Line 2 Line 3 Province Post Code / Zip Country Postal Address
Same as Physical
Line 1 Line 2 Line 3 Province Post Code / Zip Papua New Guinea Mineral Resources Authority Form TMP1: Registration for access to the MRA Online Mining Cadastre Portal
Prof
Hon
Other
Country Telephone 1
e.g. +44822354111 not +44(0)822354111
Telephone 2
e.g. +44822354111 not +44(0)822354111
Fax Number
e.g. +44822354111 not +44(0)822354111
SECTION C: COMPANY DETAILS Company Name Abbreviation Registration Number Registered Country d
Registration Date
d
/ m m / y y y y
Private
Company Type
Listed
Official Email Address Email Address
The main authorised user’s email address will be used for all official communications for this company. (Should you need email to be sent to multiple recipients, you can set up an internal distribution list.)
Physical Address Line 1 Line 2 Line 3 Province Post Code / Zip Country Postal Address
Same as Physical
Line 1 Line 2 Papua New Guinea Mineral Resources Authority Form TMP1: Registration for access to the MRA Online Mining Cadastre Portal
Line 3 Province Post Code / Zip Country Telephone 1
e.g. +44822354111 not +44(0)822354111
Telephone 2
e.g. +44822354111 not +44(0)822354111
Fax Number
e.g. +44822354111 not +44(0)822354111
Website
SECTION D: TERMS OF USE I confirm that all information provided is correct I agree to the Terms of Use and Privacy Statement of the Mining Cadastre Portal Number of pages submitted for this application (including addenda) D D / MM / YYYY Signed by
Date
Location
FOR OFFICIAL USE ONLY Yes
No
All documents received and in good order
Yes
No
All existing mineral tenements in good standing (where such tenements existed)
Yes
No
User added to Mining Cadastre Portal
Yes
No
User given access to requested Company Comments D D / MM / YYYY
Signed by Cadastre Officer
Date
Papua New Guinea Mineral Resources Authority Form TMP1: Registration for access to the MRA Online Mining Cadastre Portal
Location
INDEPENDENT STATE OF PAPUA NEW GUINEA MINERAL RESOURCES AUTHORITY (MRA)
ADDENDUM FORM TMP-1A: DECLARATION OF MINERAL TENEMENT INTERESTS SECTION A: PURPOSE OF REGISTRATION This addendum must be completed by persons of companies that are, or have been, the legal owner of mineral tenements in Papua New Guinea. Complete sections B, C Please provide: Proof of ownership for all mineral tenements Proof that all existing mineral tenements are in good standing as registration will not proceed if any of their mineral tenements are in default (e.g. letters, receipts of payment, etc.) This addendum and associated documents must be submitted along with form TMP-1 in person to Mining Haus, Poreporena Freeway, Port Moresby, Papua New Guinea Any queries may be submitted by email to
[email protected].
SECTION B: LIST OF MINERAL TENEMENT INTERESTS The following mineral tenements are held / have been held by myself or the company I will represent: Tenement Code
Tenement Type
Application Date
Grant Date
Papua New Guinea Mineral Resources Authority Form TMP1: Registration for access to the MRA Online Mining Cadastre Portal
Expiry Date
Tenement Status
*continue on separate sheet if required
SECTION C: VERIFICATION I confirm that all information provided is correct I confirm that I have verified all existing information in the Mining Cadastre during this registration process and confirm that this is correct. D D / MM / YYYY Signed by
Date
Papua New Guinea Mineral Resources Authority Form TMP1: Registration for access to the MRA Online Mining Cadastre Portal
Location
INDEPENDENT STATE OF PAPUA NEW GUINEA MINERAL RESOURCES AUTHORITY (MRA)
ADDENDUM FORM TMP-1B: ADDITIONAL COMPANY USER REGISTRATION SECTION A: PURPOSE OF REGISTRATION Application as an additional user of the Mining Cadastre Portal on behalf of a company, either as an employee or agent of that Company Complete sections B, C Please provide: Proof of identity (passport or ID card) Proof of company registration (certified copy of certificate of incorporation) Signed letter of authority to use the Mining Cadastre Portal on behalf of the Company This addendum and associated documents must be submitted along with form TMP-1 in person to Mining Haus, Poreporena Freeway, Port Moresby, Papua New Guinea Any queries may be submitted by email to
[email protected].
SECTION B: DETAILS FOR THE AUTHORISED USER Surname First Names Email Address (used for login and email notifications)
Mobile Number (used for SMS notifications)
e.g. +44822354111 not +44(0)822354111
Mr
Title Identity Number
Mrs
Ms
Dr
and / or
Passport Number Nationality Date of Birth Gender
d
d Male
/ m m / y y y y Female
Papua New Guinea Mineral Resources Authority Form TMP1: Registration for access to the MRA Online Mining Cadastre Portal
Prof
Hon
Other
Physical Address Line 1 Line 2 Line 3 Province Post Code / Zip Country Postal Address
Same as Physical
Line 1 Line 2 Line 3 Province Post Code / Zip Country Telephone 1
e.g. +44822354111 not +44(0)822354111
Telephone 2
e.g. +44822354111 not +44(0)822354111
Fax Number
e.g. +44822354111 not +44(0)822354111
SECTION C: TERMS OF USE I confirm that all information provided is correct I agree to the Terms of Use and Privacy Statement of the Mining Cadastre Portal D D / MM / YYYY Signed by
Date
Papua New Guinea Mineral Resources Authority Form TMP1: Registration for access to the MRA Online Mining Cadastre Portal
Location