FORM NO. - 1-A APPLICATION FOR MINING LEASE (See Rule 5) To, The Mining Engineer/Assistant Mining Engineer, Department of Mines & Geology Rajasthan, ..... Sir, I/We ................. request you to grant me/us Mining lease for Mineral .......over an area of ..... Sq. Mts.; for a period of ... years under the Rajasthan Minor Mineral Concession Rule, 1986. 2. I have deposited Rs ...... as the application fee payable under rule 5 vide demand draft/treasury challan No .... dated ...... 3. Following are the required particulars:- (a) In case the applicant is an individual: (1) Name of the Applicant (2) Father's Name/Husband's Name (3) Caste (4) Occupation (5) Permanent address (b) In case the applicant is Firm /Company /Association /Society: (1) Kind of business (2) Place of business (3) Place of registration (4) Nationality of Director/Partners N.B. Please enclose copies of certificate of Firm's registration partnership deed, power of attorney certificate of incorporation, memorandum and Articles of Association and resolution of Board of Directors about applying for mining lease. 4. Details of area held by the applicant in Rajasthan 5. Details of application already submitted/pending/applied for simultaneously 1. 2. 3. 6. Total area acquired for the mineral applied for ........ 7. Category to which the applicant belongs (as specified in rules) (please attach necessary certificate). 8. (a) Please enclose plan and description report of the applied area with reference to the nearest permanent feature and showing length and bearing of all the lines. (b) Please enclose a copy of Khasra Map covering the applied area and a copy of' Revenue jamabandi to indicate the status of applied area i.e. to indicate whether the applied area is Khatedari Land/Government land/forest Land/Abadi Land/Charagah/Catchment area of any Dam/Tank etc. 9. Please indicated the distance of the following from the applied area: (a) Any important tank or dam falling within 1.00 km. radius of the applied area. (b) Any important temple, mosque or any other place of worship or place of archeological, tourist importance including burrial ground etc. falling within 1.00 km. radius of the applied area. (c) Any river, canal/pucca road rail line passing within 1.00 km radius of the applied area. (d) Any permanent structure like power line/Microwave tower/water reservoir etc. within a radius of 1.00 km. from the applied area. 10. Please indicate if the applied area has been notified by the Government or by any local authority for any other public or special purpose, give details. S.No Nature of Mineral for Extent of Period of Location of Division which lease is area held lease from to leased area held I/We declare that particular given above are correct and I/We will furnish any other details required in the connection on.demand. Your faithfully, Signature Name ........ Present Address... Place .... Date .... Note:- 1 The information from Paras 8(b) to 10 is required to have an idea of' the status and the surface features of the applied area. The said information shall be furnished within a period of 45 days of the presentation of the application failing which the application shall be liable to be rejected. Note:- 2 The restrictions of the grant of mining lease will remain the same as envisaged in chapter II of these rules.
