FORM B

"To be submitted in Triplicate"

Received at............(place) on...............(Date)

Initial of Receiving Officer

 GOVERNMENT OF……………….

MODEL FORM

Application for Prospecting Licence

[See rule 9(1)]

                                                                                  Dated ______day of _____________20__

To

Through

Sir,

       I/We request that a prospecting licence under the Mineral Concession Rules, 1960 be granted to me/us.

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

3. 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) Omitted

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

(vib) If on the date of application the applicant does not hold a prospecting licence, it should be stated whether an affidavit to this effect has been furnished to the satisfaction of the State Government.

(vii) Mineral or minerals which the applicant intends to prospect.

(viii) Period for which the prospecting licence is required.

(ix) Extent of the area the applicant wants to prospect.

(x) Details of the area in respect of which prospecting licence is required.

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District        Taluq          Village           Khasra No.        Plot No.          Area

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(XA)(a) Does the applicant have surface rights over the area for which he requires a prospecting licence?

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

(xi) Brief description of the area with particular reference to the following:

(a) the situation of the area in respect to natural features such as streams etc.

(b) in the, case of village, areas, the name of the village and if only a part of the village is applied for, the khasra number, the area in hectares of each field or part thereof applied for.

N.B. - The areas shall cover whole or recognised part survey numbers.

(c) In the case of forest areas, the name of the working circle, the range and the felling series.

(d) For areas where no forest maps or cadestral maps are available, a sketch plan should be submitted on scale showing the area applied for together with boundary, if any, of any other existing mining lease or prospecting licence area if the area applied for has any common point or line with the boundaries of existing prospecting licence or mining lease areas.

(xii) The areas applied for should be marked on plans as detailed below:-

(a) In case a cadestral map* of the area is available, the area on this map should be marked showing the name of the village, Khasra number and area in hectares of each field and part thereof.

N.B - The area applied for shall cover whole survey numbers.

(b) In the case of forest maps, the area should be marked on the map showing the range and felling series.

(c) In case neither cadestral nor forest maps are available, the area should be marked on sketch plan drawn to scale showing on this plan all important surface and natural features, the dimensions of the lines forming the boundary of the area and the bearing and distance of all comer points from any important, prominent and fixed point or points.

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

(xiv) Particulars of the areas mineral-wise within the jurisdiction of the State Government for which the applicant or any person joint in interest with him:

(a) already holds under prospecting licence;

(b) has already applied for but not granted;

(c) being applied for simultaneously.

(xv) Nature of joint in interest, if any.

(xvi) If the applicant intends to supervise the works, his previous experience of prospecting and mining should be explained; if he intends to appoint a manager, the name of such manager, his qualifications, nature and extent of his previous experience should be specified and his consent letter should be attached.

(xvii) Financial resources of the applicant.

(xviii) Particulars of receipted treasury challan attached for the amount referred to at 2 above.

(xix) Any other particulars or sketch map which the applicant wishes 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,

 

(Signature and designation of the applicant)

Place

Date

 

* The topographical map of 1" = 1 mile scale is obtainable from the office of the Survey of          India, Hathibarkhala, Dehra Dun.

        Detailed plan and topographical map are to be, attached in triplicate with the original               application in case mineral applied for is a scheduled mineral.

Note  1 -If the application is signed by an authorised agent of the applicant, Power of Attorney               should be attached.

2. The application should relate to one compact area only.

3. Such large-size map, as may be available, should be attached for proper         demarcation of the areas, specially when the area applied for is 40 hectares or less.