For the Financial Year 1st April,19.......to 31st March, 19....... 

                                            MINE CODE_____________

ANNUAL RETURN

[See rule 45(1)(c)(ix)]

(I) Name of the mineral

(ii) Name of mine

(iii) Name(s) of other mineral(s), if any, produced

      from the same mine during the year 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

PART-I (General)

1. Location of the Mine:

Village:             Post Office:         Tahsil/Taluka:

District:                   State:                   PIN:

2. Name & Address of

(i) Lessee/Owner:

(ii) Registered Office of Lessee :

(iii) Agent  :

(iv) Manager             :

(v) Mining Engineer in Charge   :

(vi) Geologist in Charge :

(vii) Transferros(previous lessee) :

      if any, and date of transfer

3. Particulars of area operated/Lease

   (Furnish information on items (I) to (v) lease-wise in caswe mine

    workings cover more than one lease

   (i) Area under lease (hectares):

       Under forest

       Outside forest

       Total

(ii) Date of execution of mining lease deed

(iii) Period of lease

(iv) Area for which surface rights are held(hectares)

(v) Date and period of renewal (if applicable)

(vi) In case there is more than one mine in the same

     lease area, indicate name of mine and mineral produced

4. Lease area (surface area) utilisation as at the end of year(hectares):

Under forest

Outside forest

Total

(i) Already exploited & abandoned by opencase(O/C) mining

(ii) Covered under current (O/C) workings

(iii) Reclaimed/rehabilitated

(iv) Used for waste disposal

(v) Occupied by plant, buildings,

    residential, welfare buildings and roads

(vi) Used for any other purpose(specify)

5. Ownership/exploiting agency of mine

(i) PUBLIC SECTOR

(ii) PRIVATE SECTOR

(iii) JOINT SECTOR

PART-II (Employment & Wages)

1. Number of technical and supervisory staff employed at the mine

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Description                            Wholly employed     Partly employed

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(i) Graduate Mining Engineer

(ii) Diploma Mining Engineer

(iii) Geologist

(iv) Other administrative, clerical and technical supervisory staff

2. (i) Number of days the mine worked:

(ii) No. of shifts per day 

(iii) Indicate reasons for work stoppage in the mine 

during the year such as due to strike, lockout,

monsoon, non availability of labour, transport 

bottleneck, lack of demand, uneconomic operation

etc. and the number of days of work stoppage for

each of the factors separately.

3. (i) Employment of Labour and wages paid

Maximum number of persons employed on any one day during the year:

(i) In workings below ground on..............(a)............

(ii) In all in the mine on...............(a)...................

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Classification  No. of mandays  No. of days  Avg.daily No.of   Tot.wages/

                worked during   worked       persons employed  salary  

                the year        during                         bill for

                                the year                       the year

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             Direct Cont. Total                  Male Female Total

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1                    2A    2B                2         3                  4A        4B      4         5

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Below ground:

(i) Foreman and

Mining Mates

(ii) Face Workers

and loaders

(iii) Others

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Opencast workings:

(i) Foreman 

& Mining Mates

(ii) Face Workers and

Loaders

(iii) Others

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Above ground:

(i) Clerical &

Supervisory staff

(excluding the

superior supervisory

staff)

(ii) Workers in any attached

factory, workshop or

mineral dressing plant

(iii) Others

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Total

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3.(2) Total salaries paid to technical and supervisory staff 

employed in the mine during the year in Rs.....

PART-III (Consumption of Materials)

1. Quantity and Cost of material consumed during the year

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Description                Unit            Quantity                              Value(Rs)

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(i) Fuel

(a) Coal    tonnes

(b) Diesel Oil            Ltrs.

(c) Petrol      Ltrs.

(d) Kerosene    Ltrs.

(e) Gas         Cu.m.

(ii) Lubricants

Lubricant oil             Ltrs.

Grease     Kgs.

(iii) Electricity

(a) Consumed          Kwh.

(b) Generated           Kwh.

(c) Sold    Kwh.

(iv) Explosives (of all types as per Form-G)

(v) (a) Tyres

    (b) Timber and supports

    (s) drill rods and kits

(vi) Other materials, spares and stores

2. Royalty, Dead Rent and Surface Rent (in ‘000 Rupees):

             Paid for current year      Paid towards past arrears

Royalty

Dead Rent

Surface Rent

3. Compensation paid for felling trees during the year(Rs.):

4. Depreciation on fixed assets (Rs.):

5. Taxes and cesses (Rs)        Amount paid during the year

                         --------------------------------------

                           To Central              To State

                           Government           Government

(i) Sale tax

(ii) Welfare Cess

(iii) Other taxes and cesses

(a) Mineral cess

(b) Cess on dead rent

(c) Others (Please specify)

6. Other expenses (Rs.):

 (i) Overheads

 (ii) Maintenance

 (iii)Money value of other benefits paid to workmen

 (iv) Payment made to professional agencies 

PART-IV (General Geology & Mining)

1. Give a brief account of geological, feasibility and economic viability studies.

a.    Tick mark as applicable from each (i), (ii) and  (iii) below:

(i) Reconnaissance/Prospecting/General Exploration/Detailed

  Exploration.

  (ii) Geological Study/Pre-feasibility Study Feasibility Study.

       (iii)Intrinsically Economic/Potentially Economic/Economic.

b.    Brief account of the studies indicated under 1(a) during the year.

2. Reserves and Resources estimation during the year.

Note.- For the removal of doubts, the  classification terms and codes mentioned in this Form  shall  have the same meaning as assigned to them in the Guidelines issued by Indian Bureau of Mines in this regard.

Basis of estimation:

3. Type and Aggregate Horse Power of Machinery

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Type of Machinery    No. of units              Capacity   H.P.

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PART-V (PRODUCTION,DESPATCHES AND STOCKS)

(Unit of Quantity in Tonnes)

1. Production and stocks of ROM ore at mine-head

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                 From Opencast      From Underground    Dump

                 workings workings           workings

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(a) Opening stock

(b) Production

(c) Closing stock

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2. Quantity of overburden/waste rock removed:

3. Quantity of mineral rejects with grades:

4. Grade-wise Production, Despatches and stocks of Processed ore

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Grade(As per royalty  Opening              Production       Despatches       Closing       PMV

             rates*)          stock at                                       from mine          stock at       (Rs.)

                                   mine-head                                 head              mine-head

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“Note: The data in Part-V above shall be furnished grade-wise. The grades for iron ore shall be as per Form H-1, those 

for manganese ore as per Form H-2, for bauxite and laterite as per Form H-3, for chromite as per Form H-4, for copper, 

lead, zinc, pyrite, gold, tungsten as per Form H-5, for mica, as per Form H-6, for precious and semi-precious stones

 as per Form H-7, and for other minerals as mentioned in Form H-8, respectively.

5. Details of deductions (from FOR/FOB prices) used for computation 

of PMV (Rs./tonne)

(a) Cost of Transportation

    (Indicate loading stations and distance from mine)

(b) Loading and unloading charges

(c) Railway freight, if applicable

    (indicate destination and distance)

(d) Port handling/export duty/any other charges, etc.

    (indicate name of port)

Total: (a) to (d)

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6. Sales/Despatches effected for Domestic Consumption and for Exports:

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Grade    Place                For Domestic consumption         For export

of ore   of sale

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                     Consignee Qty. Sale value  Country Quty F.O.B. value

                                    (Rs)                       (Rs)

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7. Give reasons for increase/decrease in production, if any, during

 the year compared to the previous year

PART-VI COST OF PRODUCTION

Cost of production per tonne of ore/mineral produced:

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Item                                   Cost per metric tonne(Rs.)

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(i) Direct cost:

(a) Exploration

(b) Mining

(c) Beneficiation(Mechanical only)

(ii) Over head cost

(iii) Depreciation

(iv) Interest

(v) Royalty

(vi) Taxes

(vii) Dead Rent

(viii) Others (specify)

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Total:

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Note: Information given under Part-VI will be kept confidential,

if required. The Government, however, will be free to utilise

the information for general studies without revealing the 

identity or working cost of the firm.

I certify that the information furnished above is correct and

complete in all respects.

Place:                                          Signature

Date:                                        Name in full:

                                             Designation:Owner/Agent/

                                             Mining Engineer/Manager