FORM-C ( Omitted) Receipt of Application for Prospecting Licencee/Mining lease or Renewals [See Rule 10(4) and 23 (4) ] GOVERNMENT OF............................................... 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..........................200... for about ....................hectares of land located in village/Govt. Forest, Taluq.............................................District.......................... for.........................prospecting / mining .......................mineral /minerals. Place.................... Signature and designation of Date.................... Receiving Officer