FORM C [(SEE RULE) 3 (5)] Proforma for submission of Details by Exporters Name of the Shipper: Total quantity shipped in M/tons: Perriod/year: bill of Name of Lease Lease No. No. and Data of Qty. of Sr. No. Name of the Vessel date of selling loading Qty. In M/tons Type of Ore Average grade of shipment Holder from whom ore is purchased/ obtained from where the ore is purchased/ obtained Qty. of ore purchased/ obtained Grade Royalty paid (Rs) challan towards payment of royalty Short shipped Qty. up country ore utilised Permit No. & date of up country ore. Remarks 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16