Common use of Applicant details Clause in Contracts

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) 000000000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited (if applicable) Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) 000000000 Altura Lithium Operations Pty Ltd (ACN 000 000 000) Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited (if applicable) Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email addressaddress Part 4: Proposed amendments Additional information to support the assessment of your application to amend may be attached. Please ensure you have included the following as part of your application: • a photocopy of the granted clearing permit, with proposed changes highlighted, and • payment of the prescribed fee. Indicate the proposed change/s to your clearing permit by selecting the relevant box/es: ☐ Extend the duration of the clearing permit. ☐ Vary / add / remove a permit condition relating to a matter other than the size or boundary of the area to be cleared. ☒ Amend the size of the area permitted to be cleared, or add / remove a land parcel on the clearing permit. ☐ Redescribe the boundary of the area authorised to be cleared [for an area permit only] ☐ Make a correction to the clearing permit. ☐ Other. Provide details of the proposed change(s), and the rationale for it / them. Increase in clearing area from 374.58 to 454.58 ha Increase in application area from 542.60 to 974.7 ha Change of Permit Holder name from Altura Exploration Pty Ltd to Altura Lithium Operations Pty Ltd Amendments to mine and miscellaneous activities disturbance areas For an application to amend the size of the area permitted to be cleared, or add a land parcel to the clearing permit, you must have the authority of the landowner to access the land and undertake the clearing. Evidence of authority can include, for example, a copy of the certificate of title or a letter of authority from the land owner. Note: the letter of authority must explicitly state the applicant has authority to clear on the land. State the nature of the applicant’s authority to access the land to be cleared. [Attach evidence of authority] All tenements are held by Altura Lithium Operations Pty Ltd Provide additional property details if required – if applying to extend the size of the area to be cleared into another land parcel. Land description: volume and folio number, lot or location number(s), Crown lease or reserve number, pastoral lease number, or mining tenement number of all properties. M45/1230, M45/1231, M45/1260, L45/400, L45/401, L45/404, L45/416 You must provide evidence that avoidance and mitigation options have been pursued to eliminate, reduce or otherwise mitigate the need for, and scale of, the proposed clearing of native vegetation. Have alternatives that would avoid or minimise the need for clearing been considered and applied? ☒ Yes ☐ No If yes, provide details: Minimal clearing required to ensure the ongoing operation of the Pilgangoora Lithium Project and to align with proposed Mining Proposal amendments. Existing cleared areas will be utilised where available and the clearing of riparian vegetation will be avoided where possible. Refer to DWER’s Clearing of native vegetation offsets procedure guideline available on the DWER website, and the EPA’s WA Environmental Offsets Policy and Guidelines on the EPA website for further information. Do you want to submit a clearing permit offset proposal with your application? ☐ Yes ☒ No

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ ☒ Mrs ☐ ☒ Ms ☐ Other: Name/s TG and XX XxXxxx OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) 000000000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager XXXXX XXXXXX Company name Silver Lake Resources Limited (if applicable) AUSTWIDE MINING TITLE MANAGEMENT PTY LTD Postal / business address PO Box 876; address South Perth BOX 1434 WANGARA WA 6951 6947 Phone (fixed line): 63133800 0000 0000 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx xxxxx@xxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) AS ABOVE Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pastoral Management Pty Ltd other entity formed at law (include ACN) 000000000 ACN: 000 000 000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Xxxxx Xxxxxx Contact person (and Xx Xxxxxx CITIC Pacific Mining Management Pty Ltd – Manager position, if applicable) Sustainability and Environment Manager Company name Silver Lake Resources Limited Pastoral Management Pty Ltd – c/o CITIC Pacific Mining (if applicable) Management Pty Ltd Postal / business PO GPO Box 876; 2732, PERTH WA 6001 address South Perth WA 6951 Phone (fixed line): 63133800 (00) 0000 0000 Phone (mobile): 0000000000 0000 000 000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx Xxxxx.Xxxxxx@xxxxxxxxxxxxxxxxxx.xxx Yes No I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided ☒ ☐ above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Are you applying as an individual, a company or incorporated body? Enter details for one only. Title Mr ☐ Mrs ☐ Ms ☐ Other: Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pastoral Management Pty Ltd other entity formed at law (include ACN) 000000000 ACN: 000 000 000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. Provide contact details for the above individual or body corporate. Xxxxx Xxxxxx Contact person (and CITIC Pacific Mining Management Pty Ltd – Manager position, if applicable) Sustainability and Environment Company name Pastoral Management Pty Ltd – c/o CITIC Pacific Mining (if applicable) Management Pty Ltd Postal / business GPO Box 2732, PERTH WA 6001 address Phone (fixed line): (00) 0000 0000 Phone (mobile): 0000 000 000 Email address Xxxxx.Xxxxxx@xxxxxxxxxxxxxxxxxx.xxx DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Yes No Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited (if applicable) Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: individual Name/s OR A body corporate or Silver Lake (Integra) Pty Western Areas Ltd other entity formed at law (include ACN) 000000000 00 000 000 000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx Xxxx XxXxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited Western Areas Ltd (if applicable) Postal / business Postal: PO Box 876; 1891, West Perth, WA 6872 address South Perth WA 6951 Business: Xxxxx 0, Xxxxx xxxx Xx, Xxxx Xxxxx, XX 0000 Phone (fixed line): 63133800 0000 0000 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx xxxxxxxxx@xxxxxxxxxxxx.xxx.xx Yes No I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided ☒ ☐ above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title ☐ Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd Phosphate Resources Limited trading as Christmas Island other entity formed at Phosphates (ACN: 009 396 543) law (include ACN) 000000000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER All written correspondence from the Department of Water and DMIRS prefer to send all correspondence electronically Environmental Regulation (DWER) or Department of Mines, Industry Regulation and Safety (DMIRS) regarding your application will be made via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the You must provide a valid email address provided in this sectionthrough which you agree to accept all electronic correspondence. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the The postal/business address you have provided in this section. Other general correspondence supplied must be a physical address to which a statutory notice under the EP Act may still be sent to you via email. delivered.1 Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx n/a position, if applicable) Environment Manager Company name Silver Lake Phosphate Resources Limited trading as Christmas Island (if applicable) Phosphates Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / 1 The provision of a postal/business address Phone is required as any statutory notices or directions under the relevant legislation are required to be served by post or personally [sections 75 and 76 Interpretation Act 1984 (fixed line) Phone (mobile) Email addressWA)].

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) Independence Nova Pty Ltd ACN: 000000000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx Xxxxx Xxxx position, if applicable) Environment General Manager Nova Company name Silver Lake Resources Limited Independence Nova Pty Ltd (if applicable) Postal / business PO Box 876; 496 address South Perth WA 6951 Phone (fixed line): 63133800 (00) 0000 0000 Phone (mobile): 0000000000 0000 000 000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx Xxxxx.Xxxx@igo.com.au Yes No I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided ☒ ☐ above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and Xxxxxx Xxxxxxxxx position, if applicable) Environmental Advisor Company name Independence Nova Pty Ltd (if applicable) Postal / business PO Box 496 address South Perth WA 6951 Phone (fixed line) (00) 0000 0000 Phone (mobile) 0000 000 000 Email addressaddress Xxxxxx.Xxxxxxxxx@xxx.xxx.xx Part 4: Proposed amendments Additional information to support the assessment of your application to amend may be attached. Please ensure you have included the following as part of your application: • a photocopy of the granted clearing permit, with proposed changes highlighted, and • payment of the prescribed fee. Indicate the proposed change/s to your clearing permit by selecting the relevant box/es: ☒ Extend the duration of the clearing permit. ☐ Vary / add / remove a permit condition relating to a matter other than the size or boundary of the area to be cleared. ☐ Amend the size of the area permitted to be cleared, or add / remove a land parcel on the clearing permit. ☐ Redescribe the boundary of the area authorised to be cleared [for an area permit only] ☐ Make a correction to the clearing permit. ☐ Other. Provide details of the proposed change(s), and the rationale for it / them. Original duration was for 5 years. The Nova site has an estimated remaining life of mine of 11 years. It is possible that during this period further clearing will be required for the haul road and borrow pits. Request extension for further 5 years. For an application to amend the size of the area permitted to be cleared, or add a land parcel to the clearing permit, you must have the authority of the landowner to access the land and undertake the clearing. Evidence of authority can include, for example, a copy of the certificate of title or a letter of authority from the land owner. Note: the letter of authority must explicitly state the applicant has authority to clear on the land. State the nature of the applicant’s authority to access the land to be cleared. [Attach evidence of authority] Provide additional property details if required – if applying to extend the size of the area to be cleared into another land parcel. Land description: volume and folio number, lot or location number(s), Crown lease or reserve number, pastoral lease number, or mining tenement number of all properties. You must provide evidence that avoidance and mitigation options have been pursued to eliminate, reduce or otherwise mitigate the need for, and scale of, the proposed clearing of native vegetation. Have alternatives that would avoid or minimise the need for clearing been considered and applied? ☒ Yes ☐ No If yes, provide details: The permitted clearing area for CPS 6413/1 is 584.5 ha, and thus far only 160.73 ha has been cleared. Internal procedures are used to keep clearing to the minimum area necessary. Refer to DWER’s Clearing of native vegetation offsets procedure guideline available on the DWER website, and the EPA’s WA Environmental Offsets Policy and Guidelines on the EPA website for further information. Do you want to submit a clearing permit offset proposal with your application? ☐ Yes ☒ No If yes, provide details, and complete and attach Appendix A of the Clearing of native vegetation offsets procedure guideline.

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) BHP Billiton Iron Ore Pty Ltd Ltd. other entity formed at ACN: 000 000 000 law (include ACN) 000000000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx Xxxxx Xxxxxxx position, if applicable) Principal – Environment Manager Analysis and Improvement Company name Silver Lake Resources Limited BHP Billiton Iron Ore Pty Ltd (if applicable) Postal / business PO Box 876; 7122 Cloisters Square address South Perth Perth, WA 6951 6850 Phone (fixed line): 63133800 Phone (mobile): 0000000000 00) 0000 0000 (00) 0000 0000 (00) 0000 0000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx xxxxx.x.xxxxxxx@xxx.xxx Yes No I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided ☒ ☐ above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at Xxxxxxx Salt Limited (ACN 008 706 590) law (include ACN) 000000000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Mr Xxxxx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Xxxxxxx Salt Limited (if applicable) Postal / business PO Box 876; Postal: GPO A42, Perth WA, 6837 address South Perth WA 6951 Business: Level 22, Central Park, 000-000 Xx Xxxxxxx Xxx, Xxxxx XX 0000. Phone (fixed line): 63133800 Phone (mobile): 0000000000 +00 (0) 000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx XXX.Xxxxxxxxxxx@xxxxxxxx.xxx Yes No I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided ☒ ☐ above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: individual Name/s Xxxx Xxxxxx OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) 000000000 Yandin WF Pty Ltd (ACN 626 771 711) as trustee for the Yandin WF Unit Trust (ABN 00 000 000 000) Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selectedected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Xxxx Xxxxxx Company name Silver Lake Resources Limited (if applicable) Yandin WF Pty Ltd Postal / business PO Box 876; address South Perth WA 6951 Level 13, 000 Xxxxxx Xxxxxx, Sydney NSW 2000 Australia Phone (fixed line): 63133800 +00 0 0000 0000 Phone (mobile): 0000000000 +00 000 000 000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx Xxxx.xxxxxx@alintaenergy.com.au I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: individual Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at Karara Mining Limited (070 871 831) law (include ACN) 000000000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx Xxxxx-Xxxx position, if applicable) Environment Manager Company name Silver Lake Resources Karara Mining Limited (if applicable) Postal / business address PO Box 876; address South Perth WA 6951 0000 Xxxxxxxxx Xxxxxx XX 0000 Phone (fixed line): 63133800 (00) 0000 0000 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx Xxxxxx.xxxxx-xxxx@xxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) 000000000 Lake Austin Mining Pty Ltd (ACN 000 000 000) Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited (if applicable) Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone Email address Part 4: Proposed amendments Additional information to support the assessment of your application to amend may be attached. Please ensure you have included the following as part of your application:  a photocopy of the granted clearing permit, with proposed changes highlighted (mobileAttachment 1), and  payment of the prescribed fee (Attachment 2). Indicate the proposed change/s to your clearing permit by selecting the relevant box/es: ☐ Extend the duration of the clearing permit. ☐ Vary / add / remove a permit condition relating to a matter other than the size or boundary of the area to be cleared. ☒ Amend the size of the area permitted to be cleared, or add / remove a land parcel on the clearing permit. ☐ Redescribe the boundary of the area authorised to be cleared [for an area permit only] ☐ Make a correction to the clearing permit. ☐ Other. Provide details of the proposed change(s), and the rationale for it / them. As shown in Attachment 3, it is proposed to extend the total area under consideration within which clearing can be carried out for the purposes of installing a bore field and additional internal north access road on M20/54 The proposed additional area of disturbance is 8.81ha comprising:-  4.01ha for the proposed northern and southern bore field pipeline corridors and water bore sites (previously approved and cleared for the drilling program under POW Reg ID 83140), and  4.80ha for a new internal access road from the L20/87 intersection on the northern boundary of M20/54. The total area under consideration for the amended CPS 6981-2 is planned to increase from 214ha to 532ha. The current bore field layout is based on eleven (11) Email addressRC exploration drill holes completed in November 2019 under POW Reg ID 83140. The estimated area of disturbance for the bore field is based on the area covered by access tracks and drill sites for all eleven holes. The final design of the bore field will remain subject to production water bore drilling expected to be completed in August 2020. Lake Austin Mining Pty Ltd requires a bore field to be established on site as it no longer has access to pit lake water from Tuckabianna. The additional internal access road is required to enable access from L20/87 to the plant site proposed to be located south of the planned open pit operations. For an application to amend the size of the area permitted to be cleared, or add a land parcel to the clearing permit, you must have the authority of the landowner to access the land and undertake the clearing. Evidence of authority can include, for example, a copy of the certificate of title or a letter of authority from the land owner. Note: the letter of authority must explicitly state the applicant has authority to clear on the land. State the nature of the applicant’s authority to access the land to be cleared. [Attach evidence of authority] Refer Covering Letter Provide additional property details if required – if applying to extend the size of the area to be cleared into another land parcel. Land description: volume and folio number, lot or location number(s), Crown lease or reserve number, pastoral lease number, or mining tenement number of all properties. M20/54

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) 000000000 BHP Billiton Iron Ore Pty Ltd. ACN: 000 000 000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited (if applicable) Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Are you applying as an individual, a company or incorporated body? Enter details for one only. Title Mr ☐ Mrs ☐ Ms ☐ Other: Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at Atlas Iron Pty Ltd (ACN 110 396 168) law (include ACN) 000000000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. Provide contact details for the above individual or body corporate. Contact person (and Xxxxxxx Xxx – Manager- LA, Heritage and Environment position, if applicable) Company name Atlas Iron Pty Ltd (if applicable) Level 17, 000 Xxxxxx Xxxxxx, Perth WA 6000 Postal / business address PO Box 0000, Xxxxxxxxx Xxxxxx XX, XX 0000 Phone (fixed line): +00 0 0000 0000 Phone (mobile): NA Email address Xxxxxxx.Xxx@xxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the Yes No applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided ☒ ☐ above. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited (if applicable) Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and Xxxxxx Xxxxxx – Senior Advisor - Land Access and position, if applicable) Approvals. Company name Atlas Iron Pty Ltd (if applicable) Postal / business Level 17, 000 Xxxxxx Xxxxxx, Perth WA 6000 address Phone (fixed line) +00 0 0000 0000 Phone (mobile) NA Email addressaddress Xxxxxx.Xxxxxx@atlasiron.com.au Part 4: Proposed amendments Additional information to support the assessment of your application to amend may be attached. Please ensure you have included the following as part of your application:  a photocopy of the granted clearing permit, with proposed changes highlighted, and  payment of the prescribed fee. Indicate the proposed change/s to your clearing permit by selecting the relevant box/es: ☒ Extend the duration of the clearing permit. ☐ Vary / add / remove a permit condition relating to a matter other than the size or boundary of the area to be cleared. ☐ Amend the size of the area permitted to be cleared, or add / remove a land parcel on the clearing permit. ☐ Redescribe the boundary of the area authorised to be cleared [for an area permit only] ☐ Make a correction to the clearing permit. ☐ Other. Provide details of the proposed change(s), and the rationale for it / them. Clearing permit to expire on 31 December 2019. Clearing to date has been minimised where possible but further clearing under this approval will be required in future. Request to extend the clearing date to 31 December 2021. For an application to amend the size of the area permitted to be cleared, or add a land parcel to the clearing permit, you must have the authority of the landowner to access the land and undertake the clearing. Evidence of authority can include, for example, a copy of the certificate of title or a letter of authority from the land owner. Note: the letter of authority must explicitly state the applicant has authority to clear on the land. State the nature of the applicant’s authority to access the land to be cleared. [Attach evidence of authority] M45/1179, L45/248 & L45/285 – Atlas Operations Pty Ltd L45/188, L45/189, L45/287 – Venturex Sulphur Springs Pty Ltd Written authorisation from Venturex as the tenement holder of L45/188, L45/189 and L45/287 was obtained on 21 August 2012. This was obtained again dated 5 July 2019 and is attached. Provide additional property details if required – if applying to extend the size of the area to be cleared into another land parcel. Land description: volume and folio number, lot or location number(s), Crown lease or reserve number, pastoral lease number, or mining tenement number of all properties. NA You must provide evidence that avoidance and mitigation options have been pursued to eliminate, reduce or otherwise mitigate the need for, and scale of, the proposed clearing of native vegetation. Have alternatives that would avoid or minimise the need for clearing been considered and applied? ☒ Yes ☐ No If yes, provide details: Clearing has been on an as-needed basis.

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) 000000000 Lake Austin Mining Pty Ltd (ACN 000 000 000) Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited (if applicable) Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone Email address Part 4: Proposed amendments Additional information to support the assessment of your application to amend may be attached. Please ensure you have included the following as part of your application:  a photocopy of the granted clearing permit, with proposed changes highlighted, and  payment of the prescribed fee. Indicate the proposed change/s to your clearing permit by selecting the relevant box/es: ☐ Extend the duration of the clearing permit. ☐ Vary / add / remove a permit condition relating to a matter other than the size or boundary of the area to be cleared. ☒ Amend the size of the area permitted to be cleared, or add / remove a land parcel on the clearing permit. ☐ Redescribe the boundary of the area authorised to be cleared [for an area permit only] ☐ Make a correction to the clearing permit. ☐ Other. Provide details of the proposed change(s), and the rationale for it / them. It is proposed to extend the total area under consideration within which clearing can be carried out for the purposes of installing an 80-person accommodation camp on mining lease M20/54. The proposed additional area of disturbance of 4.7ha under the camp and camp access road footprints remains within the 110ha approved under the existing clearing permit CPS 6981-1. The total area under consideration for the amended CPS 6981-1 is planned to increase from 214ha to 277ha. The camp is proposed to be located at a safe distance (mobileapproximately 1km) Email addresssouth of the planned mining and processing operations, beyond the southern boundary of existing CPS 6981 area, but remaining on mining lease M20/54. Previous areas of disturbance such as exploration tracks and drill sites will be incorporated wherever possible to minimise new disturbance. Lake Austin Mining Pty Ltd requires the camp to now be located at the White Well site due to the lack of suitable accommodation in the town of Cue. For an application to amend the size of the area permitted to be cleared, or add a land parcel to the clearing permit, you must have the authority of the landowner to access the land and undertake the clearing. Evidence of authority can include, for example, a copy of the certificate of title or a letter of authority from the land owner. Note: the letter of authority must explicitly state the applicant has authority to clear on the land. State the nature of the applicant’s authority to access the land to be cleared. [Attach evidence of authority] Refer Attachment 4 – Tenement Report Provide additional property details if required – if applying to extend the size of the area to be cleared into another land parcel. Land description: volume and folio number, lot or location number(s), Crown lease or reserve number, pastoral lease number, or mining tenement number of all properties. M20/54 You must provide evidence that avoidance and mitigation options have been pursued to eliminate, reduce or otherwise mitigate the need for, and scale of, the proposed clearing of native vegetation. Have alternatives that would avoid or minimise the need for clearing been considered and applied? ☒ Yes ☐ No If yes, provide details: Located in land previously disturbed by drilling activities on mining lease M20/54

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: individual Name/s OR A body corporate or Silver Lake (Integra) BHP Billiton Iron Ore Pty Ltd Ltd. other entity formed at ACN: 000 000 000 law (include ACN) 000000000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx Xxxxx Xxxxxxx position, if applicable) Principal – Environment Manager Analysis and Improvement Company name Silver Lake Resources Limited BHP Billiton Iron Ore Pty Ltd (if applicable) Postal / business PO Box 876; 7122 Cloisters Square address South Perth Perth, WA 6951 6850 Phone (fixed line): 63133800 (00) 0000 0000 Phone (mobile): 0000000000 0000 000 000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx xxxxx.x.xxxxxxx@xxx.xxx Yes No I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided ☒ ☐ above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) 000000000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited (if applicable) Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) 000000000 Beacon Mining Pty Ltd (000 000 000) Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited (if applicable) Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email addressaddress Part 4: Proposed amendments Additional information to support the assessment of your application to amend may be attached. Please ensure you have included the following as part of your application: • a photocopy of the granted clearing permit, with proposed changes highlighted, and • payment of the prescribed fee. Indicate the proposed change/s to your clearing permit by selecting the relevant box/es: ☐ Extend the duration of the clearing permit. ☐ Vary / add / remove a permit condition relating to a matter other than the size or boundary of the area to be cleared. ☒ Amend the size of the area permitted to be cleared, or add / remove a land parcel on the clearing permit. ☐ Redescribe the boundary of the area authorised to be cleared [for an area permit only] ☐ Make a correction to the clearing permit. ☐ Other. Provide details of the proposed change(s), and the rationale for it / them. Newly granted Miscellaneous Lease L16/122 is required to be added. For an application to amend the size of the area permitted to be cleared, or add a land parcel to the clearing permit, you must have the authority of the landowner to access the land and undertake the clearing. Evidence of authority can include, for example, a copy of the certificate of title or a letter of authority from the land owner. Note: the letter of authority must explicitly state the applicant has authority to clear on the land. State the nature of the applicant’s authority to access the land to be cleared. [Attach evidence of authority] Provide additional property details if required – if applying to extend the size of the area to be cleared into another land parcel. Land description: volume and folio number, lot or location number(s), Crown lease or reserve number, pastoral lease number, or mining tenement number of all properties. Miscellaneous Lease L16/122 You must provide evidence that avoidance and mitigation options have been pursued to eliminate, reduce or otherwise mitigate the need for, and scale of, the proposed clearing of native vegetation. Have alternatives that would avoid or minimise the need for clearing been considered and applied? ☒ Yes ☐ No If yes, provide details: Clearing has been kept to a minimal. Refer to DWER’s Clearing of native vegetation offsets procedure guideline available on the DWER website, and the EPA’s WA Environmental Offsets Policy and Guidelines on the EPA website for further information. Do you want to submit a clearing permit offset proposal with your application? ☐ Yes ☒ No If yes, provide details, and complete and attach Appendix A of the Clearing of native vegetation offsets procedure guideline.

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) 000000000 Beatons Creek Gold Pty Ltd Suite 3, 000 Xxxxxx Xxxxxx West Perth, WA 5005 ABN: 00 000 000 000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Xxxxx Xxxx – Environment and Heritage Manager Company name Silver Lake Resources Limited (if applicable) Beatons Creek Gold Postal / business PO address Po Box 876; address South Perth WA 6951 000 Xxxx Xxxxx, XX 0000 Phone (fixed line): 63133800 00 0000 0000 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx Xxxxx.xxxx@xxxxxxxxxxxxx.xxx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address)

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd other entity formed at law (include ACN) 000000000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited (if applicable) Regis Resources Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address

Applicant details. To apply for an amendment to a permit you must be the current holder of the existing permit. Are you applying as an individual, a company or incorporated body? Enter details for one only. Title Mr ☐ Mrs ☐ Ms ☐ Other: Include Australian Company Number (ACN) if the proposed permit holder is a body corporate or other entity formed at law. Are you applying as an individual, a company or incorporated body? Enter details for one only. An individual Title Mr ☐ Mrs ☐ Ms ☐ Other: Name/s OR A body corporate or Silver Lake (Integra) Pty Ltd Robe River Limited other entity formed at law (include ACN) 000000000 ACN: 000 000 000 Applicant contact details If applying as a company or incorporated body, please also supply the registered business office address. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxx Xxxxx position, if applicable) Company name Robe River Limited (if applicable) Level 18, Central Park Postal / business 000-000 Xx Xxxxxxx Xxxxxxx, xxxxxxx Xxxxx, Xxxxxxx Xxxxxxxxx 0000 Phone (fixed line): NA Phone (mobile): 0000 000 000 Email address xxxxx.xxxxx@xxxxxxxx.xxx I consent to all written correspondence between myself (the Yes No applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided ☒ ☐ above. DWER and DMIRS prefer to send all correspondence electronically via email. We request that you consent to receiving all correspondence relating to instruments and notices under Part V of the EP Act (“Part V documents”) electronically via email by indicating your consent in this section of the application form. Where ‘yes’ is selected, all correspondence from DWER or DMIRS (as applicable) will be sent to you via email, to the email address provided in this section. Where ‘no’ has been selected, Part V documents will be posted to you in hard copy to the postal/business address you have provided in this section. Other general correspondence may still be sent to you via email. Provide contact details for the above individual or body corporate. Contact person (and Xx Xxxxxx position, if applicable) Environment Manager Company name Silver Lake Resources Limited (if applicable) Postal / business PO Box 876; address South Perth WA 6951 Phone (fixed line): 63133800 Phone (mobile): 0000000000 Email address xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx.xx I consent to all written correspondence between myself (the applicant) and DWER/DMIRS (as applicable), regarding the premises which is the subject of this application, being exclusively via email, using the email address I have provided above. Yes No ☒ ☐ Contact details for enquiries If different from the applicant’s contact details, enter the contact details of a person with whom DWER or DMIRS should liaise with concerning this clearing application. Where contact details differ to those of the applicant, complete the below section: Contact person (and position, if applicable) Company name (if applicable) Postal / business address Phone (fixed line) Phone (mobile) Email address