FORM E

"To be submitted in duplicate"

GOVERNMENT OF

MODEL FORM

Application for Renewal of Prospecting Licence

[See rule 9(3)]

Received...............at..............(place)   on..............(date)

Initial of Receiving Officer

                                                                                  Dated      Day of                       20

To

Through

Sir,

       I/We request for renewal of my/our prospecting licence under the Mineral Concession Rules, 1960.

1. A sum of Rs. ……. being the fee in reaped of this application at the rate of Rs.50 for the first square kilometer or part thereof and (Rs. 10) for subsequent square kilometer or pan thereof payable in accordance with Schedule II to the Mineral Concession Rules, 1960 has been deposited.

2. The required particulars are given below:-

(i) Name of the applicant with complete address.

(ii) Is the applicant a private individual/private company/public company/firm or association?

(iii) In case applicant is:

(a) an individual, his nationality,

(b) a company, an attested copy of the certificate of registration of the company shall be enclosed,

(c) Omitted.

(d) firm or association, the nationality of all the partners of the firm or members of the association.

(iv) Profession or nature of business of applicant.

(v) & (vi) Omitted

(via) No. and date of the valid clearance certificate of payment of mining dues (copy enclosed).

(vii) An affidavit, that up-to-date income tax returns, as prescribed under the Income Tax Act, 1961, have been filed and the tax due, including the tax on account of self-assessment has been paid.

(viii)    (a)     Particulars of the prospecting licence of which renewal is desired.

(b) Details of previous renewal/renewals granted, if any.

(ix) Reasons in detail for asking for renewal of prospecting licence along with a report on the. prospecting already done.

(x) Period for which renewal of prospecting licence is desired.

(xi) Whether renewal is desired for the whole or part of the area held under prospecting licence.

(xii) In case the renewal applied for is only for part of the area held under prospecting licence.

(a) the area applied for renewal.

(b) description of the area applied for renewal (description should be, adequate for the purposes of demarcating the plot),

(c) particulars of the map of area held under prospecting licence with area applied for renewal clearly marked on it attached.

(XIIA)   (a)   Does the applicant continue to have (the surface rights over the areas                    of the land for which he requires renewal of the prospecting licence?

(b) If not, has he obtained the consent of the owner and the            occupier for undertaking prospecting operations? If so, the consent of the owner and occupier of the land obtained in writing, be filed.

(XIIB) Particulars of the area mineral-wise in each State only supported by an affidavit for which the applicant or any person jointly in interest with him -

(a) already holds under prospecting licence;

(b) has already applied for but not granted;

or

(c) being applied for simultaneously.

(xiii) Any other particulars which the applicant may wish to furnish.

      I/We do hereby declare that the particulars furnished above are correct and am/are ready to furnish any other details, including accurate plans, as may be required by you.

                                                                                                    Yours faithfully,

Place                                                                        Signature and designation of the applicant

Date