Print Page

Form 34a - Irrigation District - Delivery shares - Subdivide, Amalgamate

INFO - Applicant

This form covers applications for Water Corporation approval for dealings in delivery share under sections 223, 224, 226 and 227 of the Water Act 1989.

Subdivision / amalgamation of a delivery share(s) requires that it be cancelled and new share(s) be issued in its place.

Assistance with completing this form (opens in a new window)

INFO - Applicant - Signatures

Please note that if more than 6 signatures are required per group (e.g. Owners, Licensees, Sellers, Buyers, Transferees) please contact GMW to request an offline form.

Applicant or Lodging Party details

Please note that all communication related to this form will be directed to the Applicant or Lodging Party.

INFO – Applicant

The Applicant is the person who is submitting the application to GMW, they are the main contact for that form submission and are responsible for the information being submitted and the coordination of e-signatures and payment of the application fee.

The Applicant may be a lodging party/ solicitor/ conveyancer/ water broker but can also be a new or existing customer submitting their own application form as the seller/buyer or licensee.

If the property transferring includes a general place of take and/or extraction share, this will be included on the application form

Every application requires an “applicant”.

Title

First Name This is a required field.

Last Name This is a required field.

Company Name

If applicable.

Lodging Party ID

If applicable.

Mobile Number This is a required field.

Contact Number

Email Address This is a required field.

This email address will receive all automated correspondence in relation to this form submission.

Postal address

Street Address or PO Box This is a required field.

Town or Suburb This is a required field.

State This is a required field.

Postcode This is a required field.

Application details

Application Type This is a required field.

Application Type This is a required field. Subdivide Amalgamate

Existing Delivery Shares to be Subdivided or Amalgamated This is a required field.

Subdivison / amalgamation of a delivery share(s) requires that it be cancelled and new share(s) be issued in its place.

Use the + button to list the Delivery Shares to be subdivided or amalgamated.

Please list as Delivery Share (DSE) / Current Delivery Share Rate (ML/Day)

Land Owner(s) / Applicant(s)

INFO – Applicant

If more than 6 signatures are required, please contact GMW to request an offline form.

Applying as a company

Please note when applying as a company:

The form must be signed by those persons duly authorised to sign on behalf of the company in accordance with section 127(1) of the Corporations Act 2001; two directors, alternatively one director and one secretary, unless there is a sole director and secretary of the company.
A current (less than 12 months old) copy of an ASIC Company Search listing all directors and/or office bearers must be provided.

You can obtain a Company Extract by:

Accessing the internet service at www.asic.gov.au (opens in a new window) or by phoning (03) 5177 3988
Contacting your solicitor or legal advisor to conduct the search on your behalf (fees may apply)
Requesting that GMW complete the searches on your behalf (fees apply)

You must provide the details of those persons duly authorised to sign on behalf of the company.

Number of Applicants This is a required field.

Applicant 1

Applicant or Lodging Party is Applicant 1 This is a required field.

Applicant or Lodging Party is Applicant 1 This is a required field. Yes - the Applicant or Lodging Party (details entered above) is Applicant 1 No - enter new details

Type This is a required field.

Type This is a required field. Individual Company

Company details

INFO - Applicant

Please see notes above on applying as a company.

Company Name This is a required field.

ACN This is a required field.

Attach Company Extract This is a required field.

Attach a current (less than 12 months old) Company Extract.

Contact details

First Name This is a required field.

Last Name This is a required field.

Mobile Number This is a required field.

Contact Number

Email Address This is a required field.

Postal address

Street Address or PO Box This is a required field.

Town or Suburb This is a required field.

State This is a required field.

Postcode This is a required field.

Applicant 2

Type This is a required field.

Type This is a required field. Individual Company

Company details

INFO - Applicant

Please see notes above on applying as a company.

Company Name This is a required field.

ACN This is a required field.

Attach Company Extract

Attach a current (less than 12 months old) Company Extract.

Contact details

First Name This is a required field.

Last Name This is a required field.

Mobile Number This is a required field.

Contact Number

Email Address This is a required field.

Postal address is the same as Applicant 1? This is a required field.

Postal address is the same as Applicant 1? This is a required field. Yes - postal address is the same as Applicant 1 No - enter a new postal address

Postal address

Street Address or PO Box This is a required field.

Town or Suburb This is a required field.

State This is a required field.

Postcode This is a required field.

Applicant 3

Type This is a required field.

Type This is a required field. Individual Company

Company details

INFO - Applicant

Please see notes above on applying as a company.

Company Name This is a required field.

ACN This is a required field.

Attach Company Extract

Attach a current (less than 12 months old) Company Extract.

Contact details

First Name This is a required field.

Last Name This is a required field.

Mobile Number This is a required field.

Contact Number

Email Address This is a required field.

Postal address is the same as Applicant 2? This is a required field.

Postal address is the same as Applicant 2? This is a required field. Yes - postal address is the same as Applicant 2 No - enter a new postal address

Postal address

Street Address or PO Box This is a required field.

Town or Suburb This is a required field.

State This is a required field.

Postcode This is a required field.

Applicant 4

Type This is a required field.

Type This is a required field. Individual Company

Company details

INFO - Applicant

Please see notes above on applying as a company.

Company Name This is a required field.

ACN This is a required field.

Attach Company Extract

Attach a current (less than 12 months old) Company Extract.

Contact details

First Name This is a required field.

Last Name This is a required field.

Mobile Number This is a required field.

Contact Number

Email Address This is a required field.

Postal address is the same as Applicant 3?

Postal address is the same as Applicant 3? Yes - postal address is the same as Applicant 3 No - enter a new postal address

Postal address

Street Address or PO Box This is a required field.

Town or Suburb This is a required field.

State This is a required field.

Postcode This is a required field.

Applicant 5

Type This is a required field.

Type This is a required field. Individual Company

Company details

INFO - Applicant

Please see notes above on applying as a company.

Company Name This is a required field.

ACN This is a required field.

Attach Company Extract

Attach a current (less than 12 months old) Company Extract.

Contact details

First Name This is a required field.

Last Name This is a required field.

Mobile Number This is a required field.

Contact Number

Email Address This is a required field.

Postal address is the same as Applicant 4? This is a required field.

Postal address is the same as Applicant 4? This is a required field. Yes - postal address is the same as Applicant 4 No - enter a new postal address

Postal address

Street Address or PO Box This is a required field.

Town or Suburb This is a required field.

State This is a required field.

Postcode This is a required field.

Applicant 6

Type This is a required field.

Type This is a required field. Individual Company

Company details

INFO - Applicant

Please see notes above on applying as a company.

Company Name This is a required field.

ACN This is a required field.

Attach Company Extract

Attach a current (less than 12 months old) Company Extract.

Contact details

First Name This is a required field.

Last Name This is a required field.

Mobile Number This is a required field.

Contact Number

Email Address This is a required field.

Postal address is the same as Applicant 5? This is a required field.

Postal address is the same as Applicant 5? This is a required field. Yes - postal address is the same as Applicant 5 No - enter a new postal address

Postal address

Street Address or PO Box This is a required field.

Town or Suburb This is a required field.

State This is a required field.

Postcode This is a required field.

Declarations of Applicant

Declaration 1 This is a required field.

Declaration 1 This is a required field. I confirm that the information supplied in this application is complete and correct to the best of my knowledge. I am aware that it is an offence to supply false or misleading information.

Declaration 2 This is a required field.

Declaration 2 This is a required field. I acknowledge that GMW may release information contained in this application at the discretion of GMW to relevant parties and organisations in accordance with applicable legislation. I approve GMW to have discussions with relevant third parties such as the Irrigation Designer or Engineers and Contractors as necessary. I acknowledge that I have read and understand the accompanying explanatory notes and accept the terms and conditions contained therein.

Signatures

INFO - Applicants

When you submit this form, invitation emails will be sent to all signatories requesting that they review and sign your submission
You will be notified each time a signature has been submitted
You will receive a request for payment (if applicable) when the final signature has been submitted

If you are signing this form and not representing a company, please enter N/A in Position.

Applicant 1 Sign Here

Signature This is a required field.

Sign Here

Date This is a required field.

Full Name This is a required field.

Position This is a required field.

Payment

Amount Due

Save draft

Please select Pay online to pay using your credit card or Pay offline to pay as below:

EFT at your local GMW Customer Service Centre - Office hours and days open is available on the Contact Us page (opens in a new window)
Sending a cheque to Goulburn-Murray Water at PO Box 165 Tatura VIC 3616

Submit

Protecting your privacy

Goulburn-Murray Water (GMW) protects your privacy by collecting and handling your personal information in accordance with the requirements of the Privacy & Data Protection Act 2014. Your personal information is collected on this form and will be used for the purpose of administering this application, updating our records and updating the Victorian Water Register (if applicable). Information collected is usually disclosed to staff involved in processing your application, contractors, connection staff, other relevant GMW staff and government departments. Failure to provide the information sought may result in processing delays or non acceptance of your application. It may also limit our ability to be able to provide various programs or services. You may gain access to and correct your personal information. For further information please refer to our Privacy Policy at www.g-mwater.com.au or call 1800 013 357 to obtain a copy of this policy.

Services & Information

Form 34a - Irrigation District - Delivery shares - Subdivide, Amalgamate

Applying as a company

Type

Draw

Upload

The Form is Submitting

Protecting your privacy

Customer Dashboards

More from GMW

Quick Links