FOR   MINOR MINERALS

FORM-16

RECEIPTS FOR APPLICATION FOR QUARRY LEASE IN RESPECT

OF MINOR MINERALS

[ See Rule 6 (2)]

GOVERNMENT OF ORISSA

 

                   Serial No.......................dated........................200..........Received an application

with the enclosures listed below for a quarry lease from................at..................A.M./P.M. on...................200.. for..................................(name of minerals) in..................hectares of land situated under revenue /forest  control in.....................village / forest Block.............................Tahasil / Forest

Range......................District /  Forest Division ...............................

   

                                Enclosures:

 

                                1.

                                2.

                                3.

                                4.

PLACE:                                                                                      Signature and designation of the

                                                                                                             Receiving Officer

 

DATE:   

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