FOR MINOR MINERALS FORM-16 RECEIPTS FOR APPLICATION FOR QUARRY LEASE IN RESPECT OF MINOR MINERALS [ See Rule 6 (2)] GOVERNMENT OF ORISSA Serial No.......................dated........................200..........Received an application with the enclosures listed below for a quarry lease from................at..................A.M./P.M. on...................200.. 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: Signature and designation of the Receiving Officer DATE:
