FORM-I

(See Rule –10)

FORM OF PERMIT

 

1.  

   Name (name in full) of the preson to

   whom permit is granted

2.  

   Porfession

3.  

   Full address

     4.  Father’s name(in case of firm names and address of the

          partners and persons holding power of attriney to act on

          behalf of he firm):

 

     5.  Name of mineral/ore to be transported :

 

     6. Quantity and quality of ore/mineral to be transported

          (in tones and % of mineral content):  

8. source from which mineral/ore is procured :  

9.  

   Destination to which transporation to be made :  

10.  

    Purpose of transporation  :  

11.  

    Period for which perimit is granted :

12.  

    Place where the ore/mineral will be presented for checking

13.  

    No. and date of application for permit :

14.  

    the grantee shall be abided by the conditions overleaf :

 

 

Date of grant                                                                  Signature of competent authority granting

                                                                                       Permit with designation and address.

 

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