of (Address)............................................................................................................

is hereby certified to have been appointed as an honorary warden by the Minister in relation to ¾

Area in which the warden is authorized to act

................................................................................... ................................................................................... ...................................................................................

The validity of this certificate expires on...............................................................

Form 2

.................................................................................................................................

is an officer of the Aboriginal Affairs Department of Western Australia, and that he/she is empowered to administer the Aboriginal Heritage Act 1972, and the regulations made under that Act.

……………………………... Chief Executive Officer ………………………..……. Registrar of Aboriginal Sites ………………………..……. Date

Officer's signature………………………..

[Schedule amended in Gazette 29 October 1976 p.4178; 30 June 1995 p.2786.]

Aboriginal Heritage Regulations 1974 - Schedule.pdf