FOR MINOR MINERALS FORM-16 Application for Quarry lease in Respect of Minor Minerals [ See Rule 6 (2)] SerialNo dated received an application with the enclosures listed below for a quarry lease from at HH:MM:SS on 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: DATE: Signature and Designation of the Receiving Officer 20 Published on National Portal of India (india.gov.in) Steel & Mines DepartmentGovernment of Orissa Time