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FORM-C (
Omitted) Receipt
of Application for Prospecting Licencee/Mining lease or Renewals Sl.No.
Dated.......................
Received the application with the following enclosures for a prospecting
licence/ mining lease / renewal of prospecting licence / renewal of mining
lease of Shri/Sarvashee........................................
on..........................200... for about ....................hectares of
land located in village/Govt. Forest, Taluq.............................................District..........................
for.........................prospecting / mining
Place....................
Signature and designation of
Date....................
Receiving Officer
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