Khanij Online

FORM 4
See Rule 7(1)
APPLICATION FOR GRANT OR RENEWAL OF PERMIT FOR TEMPORARY STORAGE / BENEFICIATION / PROCESSING / CRUSHING PLANT

Apply For New License

Application Details

Is the licensed area within 100 to 500 meters of an NHAI road? *

Yes

District*

License Type*

Mineral Type*

Mineral Name*

Mineral Form*

Mineral Grade *

Application For*

Period (In Year) *

Quantity (Maximum capacity of Store at a time) *

Mineral Name	Quantity (In MT)	MineralId

Applicant Details

Name of Applicant*

Mobile Number*

E-mail ID*

Correspondence Address* Maximum 500 characters allowed.

Location Details

Name of the Place*

State*

District*

Tehsil*

Gram Panchayat*

Village*

Vidhan Sabha*

Loka Sabha*

Police Station*

Document Details

Applicant Type*

Memorandum of Association (MOA)*

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Authorization Letter of the Company*

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Upload GST Document*

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Profession or nature of business*

1.Select Company *

2.1.No Mining Dues Order No.*

2.2.No Mining Dues Issue Date*

2.3.No Mining Dues Valid Upto*

2.4.Upload No Mining Dues Document*

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2.Upload If on the date of application,the applicant does not hold any mineral concession/license in the state furnish an affidavit for the same*

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3.Mineral/Ore or its products, for which the applicant intend to, hold a permit*

4.Upload Affidavit showing details of mineral concession licenses held or being held in the State by any other person / persons jointly with the applicant

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Are you owner of the applied area ? *

Yes

4.1 Khasra Number *

4.2 Upload Certified copy of the map*

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4.3 Upload Latest revenue record of the land intended to be used for storing mineral/minerals or its products*

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4.4 Upload Affidavit showing the surface rights/consent of the owner of the land, in case the applicant is not the owner of the land*

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5.1 Consent to Operate Order No.*

5.2 Consent to Operate Order Date*

5.3 Consent to Operate Valid Upto*

5.4 Upload Consent to Operate Document*

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6.1 Consent to Establish Order No.*

6.2 Consent to Establish Order Date*

6.3 Consent to Establish Valid Upto*

6.4 Upload Consent to Establish Document*

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7.1 Environment Clearance Order No.*

7.2 Environment Clearance Order Date*

7.3 Environment Clearance Valid Upto*

7.4 Upload Environmental Clearance Document*

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Apply For New License

Application Details

Applicant Details

Location Details

Document Details

Other Document Details