Application for Prospecting License

Section

Sir,

I/We request that a reconnaissance permit under the Mineral Concession Rules, 1960 be granted to me/us.

The required particulars are given below:-

Applicant Details

Unique Business Identification Number(UBIN) *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Name of the applicant *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Mobile Number *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Applicant Details for SMS notification

Applicant Name *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Applicant Mobile Number *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Full Postal Address with Pin code and contact telephone No

Street Name 1 *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Street Name 2

Village/Town

Country *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

State *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

District

Pincode *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Mobile Number

Other Details

Legal Entity of the Business or Constitution of Business

In case applicant is :

(a) an individual, his nationality

(b) a company, an attested copy of the certificate of registration of the company shall be enclosed

Yes

No

(c) firm or association, the nationality of all the Partners of the firm or members of the association

Name

Nationality

Name

Nationality

Section

Profession or nature of business of applicant

No. and date of the valid clearance certificate of payment of mining dues(copy attached) :

No.

Date

If on the date of application the applicant does not hold a prospecting licence, it should be stated whether an affidavit to this effect has been furnished to the satisfaction of the State Government

Mineral or minerals which the applicant intends to prospect

Period for which the prospecting licence is required

Extent of the area the applicant wants to prospect

Section

Details of the area in respect of which prospecting licence is required

Sl. No.

District

Taluq

Village

Khasra No.

Plot No.

Area

Sl. No.

District

Taluq

Village

Khasra No.

Plot No.

Area

Section

Does the applicant have surface rights over the area for which he requires a prospecting licence?

Yes

No

Brief description of the area with Particular reference to the following:

(a) The situation of the area in respect to natural features such as streams etc

(b) In the case of village, areas, the name of the village

(c) In the case of forest areas

The name of the working circle :

The range

The felling series.

Particulars of the areas mineral-wise within the jurisdiction of the State Government for which the applicant or any person joint in interest with him:

(a) Already holds under prospecting licence

(b) Has already applied for but not granted

(c) Being applied for simultaneously

Nature of joint in interest, if any

Section

If the applicant intends to supervise the works, his previous experience of prospecting and mining should be explained

Sl no

Name

Qualification

Experience

Sl no

Name

Qualification

Experience

Financial resources of the applicant

Fee Details

a) A non refundable fee of

(i)Rs 250.00 For first sq.km. or part thereof

(ii) Rs 50.00-For each additional sq.km. and part thereof

b) Security deposit- A sum of Rs.2500/- in respect of the every sq.km. or part thereof for the license is granted.

Total Amount Paid *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Declaration

I/We do hereby declare that the particulars furnished above are correct and am/are ready to furnish any other details, including accurate plans as may be required by you.

I Agree *