Monthly Transport Return

Applicants Details

1. Name of Licence holder *

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Street Name 2

2. Street Name 1 *

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Country *

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State *

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District

Village/town *

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Postal / Zip Code *

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Mobile Number

Applicant Details for SMS notification

Applicant Name *

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Applicant Mobile Number *

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Registration and Other Details

3. Registration No. of license : *

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4. Date of license : *

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5. Period of license : *

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6. Name of mineral/ ore is transported :

7. Place from which ore/ mineral is transported : *

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8. Total amount of mineral/ ore is transported : *

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9. Name of district from which the ore/ mineral is transported :

Sl No. *

Month *

Date *

Opening stock to be transported *

Quantity of mineral/ ore transported *

Number of supporting transit passes *

Destination to which ore/ mineral is transported *

Closing stock of ore/ mineral to be transported *

Remarks

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Remarks

Date of submission of the return : *

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