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"SCHEDULE" FORM-A (Notice of commencement of prospecting operations) (See rule 7) To ____________________________________ 1. The Controller General
Nagpur - 440 001 This Form, duly filled in must reach the concerned authorities within fifteen days of the commencement *2. The Controller of Mines, of prospecting operations Indian Bureau of Mines ____________________________________ PIN_________ *3. The Reg.Controller Mines, Indian Bureau of Mines PIN_________ 4. State Government concerned. 1. Name of the mineral s for which (a)______________(c)_____________ prospecting licence has been granted. (b)______________(d)_____________ 2. Name and address of the licensee _______________ PIN 3. In case the licensee is a Company or Partnership Firm or Co-operative, please indicate. (i) Name and address of the Director-in-charge _______________ PIN (ii) Address of the Registered Office _______________ PIN 4. Particulars of Prospecting Licence (PL): (i) Date of execution ________________________ (ii) Period______________years, from ____________to___________ (iii)Area under licence_______________________ hectares.
5. Location of the Prospecting Licenced Area: ___________________ (i) Topo Sheet Number ___________________ (ii) Cadastral Survey or Khasra Number ___________________ (iii) Village ___________________ (iv) (a) Post Office ___________________ (b) Police Station ___________________ (v) (a) Taluka ___________________ (b) District ___________________ (c) State ___________________ (vi) (a) Nearest Railway Station ___________________ (b) The distance therefrom ___________________ (kilometres) (vii) (a) Nearest Rest House/Dak Bangalow (b) Its distance from (1) The Railway Station ____________________ (kilometres) (2) The prospecting area ____________________ (kilometres) 6. Particulars of Geologist or Mining Engineers employed for the Prospecting Licenced area: (i) Name and address: _____________________ PIN (ii) Qualifications _____________________ (iii) Date of appointment ______________________ (iv) Nature of appointment Whole time ( ) Part time ( ) (Please tick mark ne of the boxes whichever is applicable). 7. Date of commencement of prospecting operations: ______________________ Place: Date: Signature Name in full: Designation:Owner/Agent/ Mining Engineer/Manager _______________________________________________________________________________ * This should be sent to the Controller of Mines/Regional Controller of Mines in whose territorial jurisdiction the area/mine falls as notified from time to time by the Controller General, Indian Bureau of Mines, under rule 62 of the Mineral Conservation and Development Rules, 1988. |