| . | .. | 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..........................19 for
about ....................hectares of land located in village/Govt. Forest,
Taluq.............................................District..........................
for............................prospecting /minining
Place....................
Signature and designation of
Date....................
Receiving
Officer ~~*~~ |
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