Western Australian Consolidated RegulationsPetroleum Pipelines Regulations 1970
Form of Instrument of Transfer of Licence
under section 44 of
Petroleum Pipelines Act 1969
I/We (1)(2)
................................................................................................................
being the registered holder/holders (1) of (3)
...........................................................
in consideration
of (4)
.............................................................................................
hereby transfer all right, title and interest in that (3)
...............................................
to (5)
........................................................................................................................
In witness of this transfer the parties to the transfer have affixed their
respective common seals or signatures below on this
............................................................
day of
................................... 20 ..........
(6) (7)
(1) Delete whichever is inapplicable.
(2) Here insert the name of the transferor, or, if
there are 2 or more transferors, the name of each transferor.
(3) Here insert the number of the licence
transferred.
(4) Here insert the value of the consideration for
the transfer or the value of the licence transferred. If the transfer of the
licence is pursuant to a dealing which has been approved and registered under
the Act, insert a reference that is sufficient to identify that dealing.
(5) Here insert the name and address of the
transferee, or, if there are 2 or more transferees, the name and address of
each transferee.
(6) Here affix the common seal or signature of the
transferor or of each transferor, as the case may be.
(7) Here affix the common seal or signature of the
transferee or of each transferee, as the case may be.
[Fourth Schedule inserted in Gazette
28 Sep 1990 p. 5105.]