Nominate a Heritage Place

Print Form

Local Government Municipal Inventory Nomination Form

Please provide as much information as you possible. Fields marked with (required) are compulsory.

Contact details

Please enter details of your name and contact information.

The place being nominated

Please enter details of the place being nominated.

Address of the place being nominated

Nomination criteria

It is necessary to complete at least one of the following four nomination criteria.

e.g. form, scale, colour, texture and material of the fabric
e.g. has it been influenced by or influenced an historic figure, event or activity
e.g. rarity, quality of representativeness
e.g. focus of spiritual, political, national or other cultural sentiment to a majority or minority group

e.g. National Trust, Heritage Council
e.g. book titles, Battye Library references
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9 Coleville Crescent,
Spearwood 6163

Po Box 1215, Bibra Lake DC,
Western Australia, 6965

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