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Form last updated 31 March 2021
This payment form may be used for the payment of fees that are specified in the Co-operatives Regulations 2009. NO GST PAYABLE on these fees.
Please ensure this payment form is lodged along with the relevant application form.
Cheque or money order payments may be made payable to the Department of Mines, Industry Regulation and Safety.
The application fee/s is payable at the time of lodging this application.
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