[FORM A] To be submitted in quadruplicate Received At ........ (Place) on ...... (Date) Initial of Receiving Officer GOVERNMENT OF RAJASTHAN (Application for Reconnaissance Permit) {See rule 4} Dated......day of .....20 To Through Sir, I/We request that a reconnaissance permit under the mineral Concession Rules, 1960 be granted to me/us. 2. A sum of Rs.......being the fee in respect of this application at the rate of Rs.5/- per square kilometer or part thereof payable in accordance with the Mineral Concession Rules, 1960 has been deposited. 3. The required particulars age given below: (i) Name of the applicant with complete address; (ii) Is the applicant a private individual/private company/public company/firm or association? (iii) In case applicant is: (a) an individual, his nationality; (b) a company, an attested copy of the certificate of registration of the company shall be enclosed; (c) firm or association, the nationality of all the partners of the firm or members of the association; (iv) Profession or nature of business of applicant; (v) No. and date of the valid clearance certificate of payment of mining dues (copy attached); (vi) If on the date of application the applicant does not hold a reconnaissance permit, it should be stated whether an affidavit to this effect has been furnished to the satisfaction of the State Government: (vii) Mineral or minerals which the applicant intends to prospect: (viii) Period for which the reconnaissance permit is required; (ix) Extent of the area the applicant wants to prospect; (x) Details of the area in respect of which reconnaissance permit is required: (xi) Particulars of the areas mineral-wise within the jurisdiction of the State Government for which the applicant or any person joint in interest with him; (a) already holds under reconnaissance permit (b) has already applied for but not granted (c) being applied for simultaneously (xii) Nature of joint interest, if any (xiii) If the applicant intends to supervise the works, his previous experience of reconnaissance, prospecting or mining operations should be explained; if he intends to appoint a manager, the name of such manager, his qualifications, nature and extent of his previous experience should be specified and his consent letter should be attached (xiv) Financial resources of the applicant. (xv) Particulars of receipted treasury challan attached for the amount referred to at 2 above; (xvi) The works proposed to be undertaken alongwith their physical annual targets; (xvii) The scheme of relinquishment of the area (xviii) Anticipated minimum annual expenditure (activity of workwise) (xix) Any other particulars or sketch map which the applicant wishes to furnish. I/We do hereby declare that the particulars furnished above are correct and am/are ready to furnish any other details, including accurate plans as may be required by you. Yours faithfully, (Signature and designation of the applicant) Place Date The topographical map of 1" = 1 mile scale is obtainable from the office of the Survey of India, Hathibarkhala and Dehradun. Detailed plan and topographical map are to be attached in quadruplicate with the original application. Note: 1. If the application is signed by an authorised agent of the applicant, Power of Attorney should be attached. 2. The application should relate to one compact area only.];
