GOVERNMENT OF RAJASTHAN DEPARTMENT OF MINES & GEOLOGY, RAJASTHAN FORM NO. 1-B APPLICATION FOR RENEWAL OF 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 renewal of Mining Lease for mineral ---------- over an area of --------------sq. meters for a period of--------- years from -------------to------------under the Rajasthan Minor Mineral Concession Rules, 1986. 2. I have deposited Rs. ------------- as the application fee payable under Rule 5 vide demand draft/treasury Challan No.------------- dated ------------- 3. Details of areas held by the applicant in Rajasthan 4. Have you set up a mineral-based industry for consumption of the mineral. It so, give details of location, annual requirement of minerals and various resources from where raw material is being procured at present including the quality of mineral used from the existing lease. 5. Are you intending to set up a mineral-based industry in the area and consuming this mineral as raw material. (If so, give particulars of the same.) 6. Year wise details of the production and amount of excess royalty/dead rent paid to the department during the existing term (excluding the last year) of the lease. S.No. Name of Division Mineral for which Extent of area Period of lease Location of lease lease is held held From To 1 2 3 4 5 6 7 S.No. Year Annual dead rent Quantity of mineral Amount of royalty Paid Excess Remarks Raised Dispatched 1 2 3 4 5 6 7 I/We declare that particulars given above are correct and I/We will furnish any other details required in this connection on demand. Yours faithfully, (Signature--------------) Name -------------------- Present address------------- Place: --------------------- Date: ----------------------
