FOR   MINOR MINERALS

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FORM-16

RECEIPTS FOR APPLICATION FOR QUARRY LEASE IN RESPECT

OF MINOR MINERALS

[ See Rule 6 (2)]

GOVERNMENT OF ORISSA

 

                                Serial No.......................dated........................19...................Received an application

with the enclosures listed below for a quarry lease from................at..................A.M./P.M. on..............

19.......................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:   

Receiving with date                                                                                                         with date.

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