Application for permit of Saltpeter

UBIN Details

UBIN *

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Mobile Number *

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Applicant Details for SMS notification

Full Name of the Applicant *

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Mobile Number of the Applicant *

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Section

This indenture made on this day

between the Governor of Assam acting through (hereinafter called the "Government" which expression shall where the context so admits be deemed to include his successors in office and assigns of the first part, and Shri

son of shri

resident of

(hereinafter referred to as "Permit Holder" which expression shall, where the context so admits include his heirs, executors, administrators, representatives and permitted assigns) of the second part and Shri son of shri resident of District ( herein afterreferred to as " the surety ", which expression shall , where the context so admits , include his heirs ,executors, administrators , representatives and permitted assigns) of the third part;

And whereas the permit holder has offered the highest bid for the permit of cu.m ( in words cubic metre (name of the quarry) (hereinafter referred to as the "said lands") in Sub-divisions district and whereas the permit holder has paid Rs (Rupees ) only first installment/ permit money in full for the first year and Rs (Rupees ) only as security (equal to 25% of the Bid amount) for the due fulfillment of the terms and covenants hereinafter mentioned and the Government hasagreed to grant him the aforesaid permit.

Now these present witnesses as follows:

The permit holder shall during the subsistence of the permit pay in advance to the Government, the following permit money in respect of the said lands given to him on permit for the period from

on the dates mentioned below

Amount and mode of payment of permit money :

Serial Number

Value of Annual Permit money

Periodicity of payment

Serial Number

Value of Annual Permit money

Periodicity of payment

Name of the Permit Holder *

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Address Line 1 *

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Address Line 2

Village/Town *

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Country *

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State *

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District

Postal / Zip Code *

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Name of the Surety *

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Address Line 1 *

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Address Line 2

Village/ Town *

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Country *

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State *

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District

Postal / Zip Code *

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