DRILL CUTTINGS, CORE & FLUID SAMPLES SUBMISSION TRANSMITTAL
PETROLEUM EXPLORATION
FORWARD TO:                                                       INSTRUCTIONS TO OPERATOR:
Darwin Core Library Manager                                           Cuttings should be submitted to the Core Library closest to drilling site.
Dept of Business, Industry & Resource Development
                                                                      Sample listing continues on the next page of this form. Please attach any
38 Farrell Crescent, Winnellie NT 0820
                                                                       further listings.
             or
Alice Springs Core Library Manager                                    Refer to Guidelines on the reverse side of this form for the recommended
Dept of Business, Industry & Resource Development                      procedure when submitting material to the Department.
16 Power Street, Alice Springs NT 0870
Operating Company:                                                     Well Name:
Postal Address                                                         Forwarding Officer:
of Operating                                                           Means of Transport:
Company:                                                               Type & No. of Containers:
Contact Name:
Phone Number:
Fax Number:
Email Address:
Date of Dispatch:                                                      Further well samples to be shipped (please tick)           YES        NO 
                                                                  DRILLCUTTINGS
                         Spacing
                                                                                                       Spacing
                                     Box No.
                                                                                                                 Box No.
       Intervals                               Reasons for Irregular            Intervals                                  Reasons for Irregular
      Represented                                   Spacings                   Represented                                      Spacings
Name:                                                                           Signature:
Position:                                                                                              Date:
                                   Department of Business, Industry & Resource Development Use Only
  Security:                                                              Core Location:
  Report Number:                                                         Date Recorded:
                                               ONE SHEET PER WELL HOLE PLEASE
                            DRILLCUTTINGS                                                           FLUID SAMPLES
                        Spacing
                                  Box No.
      Intervals                             Reasons for Irregular           Type of                            Test
                                                                                            Type of Test                     Interval Tested
     Represented                                 Spacings                   Sample                             No.
  DRILL CORE / SIDEWALL CORE                                             Details of Core Samples submitted:
  Please attach Sidewall listing                                          If samples are discontinuous, show depth or position of each
  Core       Interval cored or   Recovery            Position of lost        sample
  No.        Depth of S.W. core in metres            section of core      If continuous, show overall interval
                                                  DRILL CUTTINGS SUBMISSION GUIDELINES
1. Companies conducting hydrocarbon exploration shall submit core and/or cuttings as soon as practical after completion of a well in accordance
   with the onshore schedule or for offshore, the approved Data Management Plan under the P(SL) (Data Management) Regulations 2004 
   whatever is applicable. See below for relevant references. Due to NTs severe climatic conditions it would be appreciated if all petroleum
   cuttings were placed in plastic vials at the rigsite. These vials can be obtained, free of charge, from the Darwin core library.
2. This Submission Transmittal must be attached to each shipment of cuttings
3. Core and/or cuttings will not be accepted by NTGS core library unless prior arrangements have made with the core library manager.
Darwin                                                                      Alice Springs
Telephone: + 61 8984 3036 or 8984 4007                                      Telephone: + 61 8 8951 5312
Fax: +61 8 8947 1544                                                        Fax: +61 8 8953 2774
Location: 38 Farrell Crescent (behind caravan park), Winnellie, Darwin      Location: 16 Power Street, Alice Springs
4. The transportation of core and/or cuttings to the nominated core library shall be the sole responsibility of the submitting company.
References:    Onshore: Section 520 of the Schedule
               Offshore: Petroleum (Submerged Lands) (Data Management) Regulations 2004.