The Pamphlet Collection of Sir Robert Stout: Volume 63
Form of Notice of Application for Protection
Form of Notice of Application for Protection.
(District and date)
No.
I hereby give notice that I desire to obtain a Protection Certificate for (here state the time) my claim situate at,____and that the following particulars are true in all respects—
1. | Classification of Claim |
2. | Date at which occupation commenced |
3. | Time during which the Claim has been worked |
4. | The Claim has not, or has been protected before* |
5. | Cause for which protection is required |
(Signature No. of Miner's Right)