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FORM -G

[See Rule 45(1)(b)]
                                                        MINE CODE____________
Annual Return indicating
(a)Consumption of explosives for the year20------- 20----------- 
(b)Estimated requirement of explosives for the next year 20------- 20--------  
To,
1.	controller General, Indian Bureau of Mines, Nagpur
2.	Controller of Mines,---------------------------------Zone
3.	Regional Controller of Mines,--------------------Region
4.	State Government concerned
-----------------------------------------------------------------------------
1.	Name(s) of Mineral(s) worked :
2.	Name of the Mine	:
3.	Location of the Mine	:
        Village:          	Post Office:	           Tahsil/Taluk:
        District:	        State:	                   PIN:
4.	Name & address of lessee/Owner:	  -----------------------------
5.	Licensed capacity of magazine:	  -----------------------------
6.	Total production during the year (Tonne):   ------------------- 
7.	Overburden removed :
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Classification  Unit  Quantity consumed            Esitmated requirement
of Explosive          during the year              during the next year
                      --------------------------   --------------------------
                      Small dia.    Large dia.     Small dia.    Large dia.
                      (upto 32 mm)  (above 32 mm)  (upto 32 mm)  (above 32 mm)
1.Gun Powder	kg.
2.Nitrate	kg.
  Mixture
a.Loose ammonium nitrate
b.Ammonium nitrate
  in cartridged form
3.Nitro compund	kg.
4.Liquid Oxygen	kg.
  Soaked catridges
5.Slurry explosives kg.
 (Mention different trade names)
6.Detonators Nos.
 1 .Ordinary
 2.Electrical
  (a)Ordinary
  (b)Delay
7.Fuse	 Mts.
  (a)Safety Fuse
  (b)Detonating Fuse
8.Plastic ignition cord	Mts.
9.Others (Sepecify)	
Mention the unit
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Different sizes of soaked liquid oxygen cartridges to equivalent kg. as 
per manufacturer’s instruction.
Place:	                                            Signature
Date:                                               Name in full:
                                                    Designation:Owner/Agent/
                                                    Mining Engineer/Manager

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