FORM – B

( To be submitted in Triplicate )

GOVERNMENT OF MAHARASHTRA

APPLICATION FOR PROSPECTING LICENCE

[See rule 9(1)]

Dated day of March 2009

To,

THE SECRETARY OF THE GOVERNMENT OF MAHARASHTRA

INDUSTRIES, ENERGY AND LABOUR DEPARTMENT, BOMBAY

Through :

The DISTRICT MINING OFFICER

AND

THE DIRECTOR OF GEOLOGY AND MINING,

MAHARASHTRA STATE, NAGPUR.

Sir,

I / We request that the prospecting license 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.
250/- for the first 100 Hectare or part thereof and Rs. 50/- for subsequent 100 Hectare or
part thereof payable in accordance with Schedule II to the Mineral Concession Rules, 1960
has been deposited.

3. The required particulars are given below :-

(i) Name of the applicant with complete Shree Sameer Madhukar Thakur
address :-
At Shitole ali, Near Shankar Tample

Alibag, Tahasil. Alibag, Dist. Raigad

(ii) Is the applicant a private individual / Private Individual
private company / public company /
firm or association ?

(iii) In case applicant is :- Indian

an individual, his nationality

a private company, the nationality of all
members of the company along with
place of registration.
a public company, the nationality of
directors, the percentage of share capital
held by Indian nationals, along with
place of incorporation.
a firm or association, the nationality of
all the partners of the firm or members
of the association.
Not Applicable

(iv) Profession or nature of business of Agriculture & Business

applicant.

(v) No. and date of the valid clearance An Affidavit is attached

certificate of payment of mining dues
(copy attached)

(vi) If on the date of application the At the time of application applicant

applicant dose not hold a prospecting does not hold any prospecting license or
license, it should be stated whether an mining lease.
affidavit to this effect has been
furnished to the satisfaction of the State
Government, [No. 1(34)/68 MVI Dt.
23.5.70, G.S.R. No. 1117, Dt. 1.8.70]

(vii) Mineral or minerals which the Bauxite

applicant intends to prospect.

(viii) Period for which the prospecting 3 Years

license is required.

(ix) Extent of the area the applicant 1) Are 51-0 H/R, 2)Waki – 121-0 H/R
wants to prospect.
3)Pimpalwat – 96-0 H/R
 Total – 268-0 H/R

(x) Details of the area in respect of

which prospecting license is required.

District Taluka Village Khasra No. Plot Area

No.

Ratnagiri Guhagar 1)Are 95, 105, 106, -- 51-0 hect.

116 to 118
2)Waki Total 121-0 hect.
401 to 409, 451, Area
3)Pimpalwat 458 to 461, 465 96-0 hect.
to 479, 481 to
488, 490, 493 to ----------------
525, 601 to 608, -
610 to 619, 767,
768, 778, 781, 268-0 hect.
782

86, 105, 124,

347, 370 to 378,
380 to 387, 398,
399, 401 to 484,
486, 487, 490,
493 to 496, 498,
500 to 503
(XA) No
(a) Does the applicant have surface rights over the area for Surface rights will be obtained after
which he required a prospecting license ? grant of prospecting license before
commencement of prospecting work
(b) If not, has he obtained the consent of the owner, and the
occupier of the land for undertaking prospecting operations. If
so, the consent of the owner and the occupier obtained in
writing be filed.

(xi) Brief description of the area with particular reference to There are no streams, lakes etc in the
the following :- applied area
(a) the situation of the area in respect of natural features such Village- Are – Waki – Pimpalwat
as streams etc.
the details are as given in point No.
(b) in the case of village, areas, the name of the village and if
only a part of the village is applied for, the Kasra No. the area
in hectors of each field or part threof applied for (X)
N.B.: The areas shall cover whole or recognised part survey Not Applicable
numbers.
A copy of village map in Enclosed.
(c) In case of forest areas the name of the working circle the
range and the filling series.

(d) For areas where no forest maps or cadastral maps are

available, sketch plan should be submitted on scale showing
the area applied for together with boundary, if any other
existing mining lease or prospecting license area if the area
applied for has nay common point or line with the boundaries
of existing prospecting licensee or mining lease areas.

(xii) The area applied for should be marked on plans as The area is mark on village map and
detailed below :- copy is attached.
(a) In case a cadastral map of the area is available, the Not Applicable
area on this map should be marked showing the name
of the village. Kasara No. and area in hectares of each A copy of village map is attached
field and part thereof. and applied area is marked.

N.B. – The area applied for shall cover whole survey

numbers.

(b) In the case of forest maps, the area should be

marked on the map showing the range and felling
series.

(c) In case neither cadastral nor forest maps are

available, the area should be marked on a sketch plan
drawn to scale showing on this plan all important
surface and naturals features, the dimensions of the
lines forming the boundary of the area and the bearing
and distance of all corner points from any important,
prominent and fixed point or points. [No. 1(3)/ 68-MII,
Dt. 30-3-68]

(xiii) An affidavit, that the up-to-date income tax An affidavit regarding income tax in
returns, as prescribed under the Income Tax Act, 1961, attached.
have been filed, and the Tax due, including the tax on
account of self assessment has been paid.
(xiv) Particulars of the areas mineral wise in each State
duly supported by an affidavit for which the applicant
or any person joint in interest with him-

(a) already holds under prospecting license. Other area notified by Govt. of
Maharashtra are applied
(b) has already applied for but not granted, or simultaneously
(c) being applied for simultaneously.

(xv) Nature of joint in interest, if any

(xvi) If the applicant intends to supervise the works, his Not Application
previous experience of prospecting and mining 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.

(xvii) Financial resources of the applicant Own finance as well as from bank

(xviii) Particulars of receipted treasury challan attached

for the amount referred to at 2 above.

(xix) Any other particulars or sketch map which the A copy of map is attached.
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,

Place : Ratnagiri

Dated : /03/2009 Signature and designation of the Applicant

FORM – B

( To be submitted in Triplicate )

GOVERNMENT OF MAHARASHTRA

APPLICATION FOR PROSPECTING LICENCE

[See rule 9(1)]

Dated day of March 2009

To,

THE SECRETARY OF THE GOVERNMENT OF MAHARASHTRA

INDUSTRIES, ENERGY AND LABOUR DEPARTMENT, BOMBAY

Through :

The DISTRICT MINING OFFICER

AND

THE DIRECTOR OF GEOLOGY AND MINING,

MAHARASHTRA STATE, NAGPUR.

Sir,

I / We request that the prospecting license 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.
250/- for the first 100 Hectare or part thereof and Rs. 50/- for subsequent 100 Hectare or
part thereof payable in accordance with Schedule II to the Mineral Concession Rules, 1960
has been deposited.

3. The required particulars are given below :-

(i) Name of the applicant with complete Shree Sameer Madhukar Thakur
address :-
At Shitole ali, Near Shankar Tample

Alibag, Tahasil. Alibag, Dist. Raigad

(ii) Is the applicant a private individual / Private Individual

private company / public company /
firm or association ?

(iii) In case applicant is :- Indian

an individual, his nationality

a private company, the nationality of all
members of the company along with
place of registration.
a public company, the nationality of
directors, the percentage of share capital
held by Indian nationals, along with
place of incorporation.
a firm or association, the nationality of
all the partners of the firm or members
of the association.

Not Applicable

(iv) Profession or nature of business of Agriculture & Business

applicant.

(v) No. and date of the valid clearance An Affidavit is attached

certificate of payment of mining dues
(copy attached)

(vi) If on the date of application the At the time of application applicant

applicant dose not hold a prospecting does not hold any prospecting license or
license, it should be stated whether an mining lease.
affidavit to this effect has been
furnished to the satisfaction of the State
Government, [No. 1(34)/68 MVI Dt.
23.5.70, G.S.R. No. 1117, Dt. 1.8.70]

(vii) Mineral or minerals which the Bauxite

applicant intends to prospect.

(viii) Period for which the prospecting 3 Years

license is required.

(ix) Extent of the area the applicant 140-0 hectr.

wants to prospect.

(x) Details of the area in respect of

which prospecting license is required.

District Taluka Village Khasra No. Plot Area

No.

Ratnagiri Guhagar Warveli 1544, 1550, 1551, -- 140-0 hectr.

 1554, 1562 to
1565, 1569, 1573
to 1577, 1579 to
1586, 1588, 1589,
1597, 1609, 1614
to 1620, 1622,
1645, 1646, 1648
to 1653, 1655,
1662, 1663, 1666,
1667, 1679, 1681
to 1686, 1691 to
1694, 1696, 1697
(XA) No
(a) Does the applicant have surface rights over the area for Surface rights will be obtained after
which he required a prospecting license ? grant of prospecting license before
commencement of prospecting work
(b) If not, has he obtained the consent of the owner, and the
occupier of the land for undertaking prospecting operations. If
so, the consent of the owner and the occupier obtained in
writing be filed.

(xi) Brief description of the area with particular reference to There are no streams, lakes etc in the
the following :- applied area
(a) the situation of the area in respect of natural features such Village- Warveli
as streams etc.
the details are as given in point No.
(b) in the case of village, areas, the name of the village and if
only a part of the village is applied for, the Kasra No. the area (X)
in hectors of each field or part threof applied for
Not Applicable
N.B.: The areas shall cover whole or recognised part survey
numbers. A copy of village map in Enclosed.

(c) In case of forest areas the name of the working circle the
range and the filling series.

(d) For areas where no forest maps or cadastral maps are

available, sketch plan should be submitted on scale showing
the area applied for together with boundary, if any other
existing mining lease or prospecting license area if the area
applied for has nay common point or line with the boundaries
of existing prospecting licensee or mining lease areas.
(xii) The area applied for should be marked on plans as The area is mark on village map and
detailed below :- copy is attached.
(a) In case a cadastral map of the area is available, the Not Applicable
area on this map should be marked showing the name
of the village. Kasara No. and area in hectares of each A copy of village map is attached
field and part thereof. and applied area is marked.

N.B. – The area applied for shall cover whole survey

numbers.

(b) In the case of forest maps, the area should be

marked on the map showing the range and felling
series.

(c) In case neither cadastral nor forest maps are

available, the area should be marked on a sketch plan
drawn to scale showing on this plan all important
surface and naturals features, the dimensions of the
lines forming the boundary of the area and the bearing
and distance of all corner points from any important,
prominent and fixed point or points. [No. 1(3)/ 68-MII,
Dt. 30-3-68]

(xiii) An affidavit, that the up-to-date income tax An affidavit regarding income tax in
returns, as prescribed under the Income Tax Act, 1961, attached.
have been filed, and the Tax due, including the tax on
account of self assessment has been paid.

(xiv) Particulars of the areas mineral wise in each State

duly supported by an affidavit for which the applicant
or any person joint in interest with him-

(a) already holds under prospecting license. Other area notified by Govt. of
Maharashtra are applied
(b) has already applied for but not granted, or simultaneously
(c) being applied for simultaneously.

(xv) Nature of joint in interest, if any

(xvi) If the applicant intends to supervise the works, his Not Application
previous experience of prospecting and mining 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.

(xvii) Financial resources of the applicant Own finance as well as from bank

(xviii) Particulars of receipted treasury challan attached

for the amount referred to at 2 above.

(xix) Any other particulars or sketch map which the A copy of map is attached.
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,

Place : Ratnagiri

Dated : /03/2009 Signature and designation of the Applicant

FORM – B

( To be submitted in Triplicate )

GOVERNMENT OF MAHARASHTRA

APPLICATION FOR PROSPECTING LICENCE

[See rule 9(1)]

Dated day of March 2009

To,

THE SECRETARY OF THE GOVERNMENT OF MAHARASHTRA

INDUSTRIES, ENERGY AND LABOUR DEPARTMENT, BOMBAY

Through :

The DISTRICT MINING OFFICER

AND

THE DIRECTOR OF GEOLOGY AND MINING,

 MAHARASHTRA STATE, NAGPUR.

Sir,

I / We request that the prospecting license 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.
250/- for the first 100 Hectare or part thereof and Rs. 50/- for subsequent 100 Hectare or
part thereof payable in accordance with Schedule II to the Mineral Concession Rules, 1960
has been deposited.

3. The required particulars are given below :-

(i) Name of the applicant with complete Shree Sameer Madhukar Thakur
address :-
At Shitole ali, Near Shankar Tample

Alibag, Tahasil. Alibag, Dist. Raigad

(ii) Is the applicant a private individual / Private Individual

private company / public company /
firm or association ?

(iii) In case applicant is :- Indian

an individual, his nationality

a private company, the nationality of all
members of the company along with
place of registration.
a public company, the nationality of
directors, the percentage of share capital
held by Indian nationals, along with
place of incorporation.
a firm or association, the nationality of
all the partners of the firm or members
of the association.
Not Applicable

(iv) Profession or nature of business of Agriculture & Business

applicant.

(v) No. and date of the valid clearance An Affidavit is attached

certificate of payment of mining dues
(copy attached)

(vi) If on the date of application the At the time of application applicant

applicant dose not hold a prospecting does not hold any prospecting license or
license, it should be stated whether an mining lease.
affidavit to this effect has been
furnished to the satisfaction of the State
Government, [No. 1(34)/68 MVI Dt.
23.5.70, G.S.R. No. 1117, Dt. 1.8.70]

(vii) Mineral or minerals which the Bauxite

applicant intends to prospect.

(viii) Period for which the prospecting 3 Years

license is required.

(ix) Extent of the area the applicant 314-0 hectr.

wants to prospect.

(x) Details of the area in respect of

which prospecting license is required.

District Taluka Village Khasra No. Plot Area

No.

Ratnagiri Rajapur Bhalawali Gat No. 42 to 50, -- 314-0 hectr.

52 to 87, 89 to 91
(XA) No
(a) Does the applicant have surface rights over the area for Surface rights will be obtained after
which he required a prospecting license ? grant of prospecting license before
commencement of prospecting work
(b) If not, has he obtained the consent of the owner, and the
occupier of the land for undertaking prospecting operations. If
so, the consent of the owner and the occupier obtained in
writing be filed.

(xi) Brief description of the area with particular reference to There are no streams, lakes etc in the
the following :- applied area
(a) the situation of the area in respect of natural features such Village- Bhalawali
as streams etc.
the details are as given in point No.
(b) in the case of village, areas, the name of the village and if
only a part of the village is applied for, the Kasra No. the area (X)
in hectors of each field or part threof applied for
Not Applicable
N.B.: The areas shall cover whole or recognised part survey
numbers. A copy of village map in Enclosed.
(c) In case of forest areas the name of the working circle the
range and the filling series.

(d) For areas where no forest maps or cadastral maps are

available, sketch plan should be submitted on scale showing
the area applied for together with boundary, if any other
existing mining lease or prospecting license area if the area
applied for has nay common point or line with the boundaries
of existing prospecting licensee or mining lease areas.

(xii) The area applied for should be marked on plans as The area is mark on village map and
detailed below :- copy is attached.
(a) In case a cadastral map of the area is available, the Not Applicable
area on this map should be marked showing the name
of the village. Kasara No. and area in hectares of each A copy of village map is attached
field and part thereof. and applied area is marked.

N.B. – The area applied for shall cover whole survey

numbers.

(b) In the case of forest maps, the area should be

marked on the map showing the range and felling
series.

(c) In case neither cadastral nor forest maps are

available, the area should be marked on a sketch plan
drawn to scale showing on this plan all important
surface and naturals features, the dimensions of the
lines forming the boundary of the area and the bearing
and distance of all corner points from any important,
prominent and fixed point or points. [No. 1(3)/ 68-MII,
Dt. 30-3-68]

(xiii) An affidavit, that the up-to-date income tax An affidavit regarding income tax in
returns, as prescribed under the Income Tax Act, 1961, attached.
have been filed, and the Tax due, including the tax on
account of self assessment has been paid.
(xiv) Particulars of the areas mineral wise in each State
duly supported by an affidavit for which the applicant
or any person joint in interest with him-

(a) already holds under prospecting license. Other area notified by Govt. of
Maharashtra are applied
(b) has already applied for but not granted, or simultaneously
(c) being applied for simultaneously.

(xv) Nature of joint in interest, if any

(xvi) If the applicant intends to supervise the works, his Not Application
previous experience of prospecting and mining 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.

(xvii) Financial resources of the applicant Own finance as well as from bank

(xviii) Particulars of receipted treasury challan attached

for the amount referred to at 2 above.

(xix) Any other particulars or sketch map which the A copy of map is attached.
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,

Place : Ratnagiri

Dated : /03/2009 Signature and designation of the Applicant

FORM – B

( To be submitted in Triplicate )

GOVERNMENT OF MAHARASHTRA

APPLICATION FOR PROSPECTING LICENCE

[See rule 9(1)]

Dated day of March 2009

To,

THE SECRETARY OF THE GOVERNMENT OF MAHARASHTRA

INDUSTRIES, ENERGY AND LABOUR DEPARTMENT, BOMBAY

Through :

The DISTRICT MINING OFFICER

AND

THE DIRECTOR OF GEOLOGY AND MINING,

MAHARASHTRA STATE, NAGPUR.

Sir,

I / We request that the prospecting license 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.
250/- for the first 100 Hectare or part thereof and Rs. 50/- for subsequent 100 Hectare or
part thereof payable in accordance with Schedule II to the Mineral Concession Rules, 1960
has been deposited.

3. The required particulars are given below :-

(i) Name of the applicant with complete Shree Sameer Madhukar Thakur
address :-
At Shitole ali, Near Shankar Tample

Alibag, Tahasil. Alibag, Dist. Raigad

(ii) Is the applicant a private individual / Private Individual

private company / public company /
firm or association ?

(iii) In case applicant is :- Indian

an individual, his nationality

a private company, the nationality of all
members of the company along with
place of registration.
a public company, the nationality of
directors, the percentage of share capital
held by Indian nationals, along with
place of incorporation.
a firm or association, the nationality of
all the partners of the firm or members
of the association.

Not Applicable

(iv) Profession or nature of business of Agriculture & Business

applicant.

(v) No. and date of the valid clearance An Affidavit is attached

certificate of payment of mining dues
(copy attached)

(vi) If on the date of application the At the time of application applicant

applicant dose not hold a prospecting does not hold any prospecting license or
license, it should be stated whether an mining lease.
affidavit to this effect has been
furnished to the satisfaction of the State
Government, [No. 1(34)/68 MVI Dt.
23.5.70, G.S.R. No. 1117, Dt. 1.8.70]

(vii) Mineral or minerals which the Bauxite

applicant intends to prospect.

(viii) Period for which the prospecting 3 Years

license is required.

(ix) Extent of the area the applicant 352-0 hectr.

wants to prospect.

(x) Details of the area in respect of

which prospecting license is required.

District Taluka Village Khasra No. Plot Area

No.

Ratnagiri Rajapur Barsu 91,92, 100, 104, -- 352-0 hectr.

 107, 109, 110,
112, 117, 124,
128 to 131, 133,
135 to 139, 142,
143, 145, 148,
152, 155, 156,
159, 160, 169 to
171, 174, 178,
180 to 185
(XA) No
(a) Does the applicant have surface rights over the area for Surface rights will be obtained after
which he required a prospecting license ? grant of prospecting license before
commencement of prospecting work
(b) If not, has he obtained the consent of the owner, and the
occupier of the land for undertaking prospecting operations. If
so, the consent of the owner and the occupier obtained in
writing be filed.

(xi) Brief description of the area with particular reference to There are no streams, lakes etc in the
the following :- applied area
(a) the situation of the area in respect of natural features such Village- Bhalawali
as streams etc.
the details are as given in point No.
(b) in the case of village, areas, the name of the village and if
only a part of the village is applied for, the Kasra No. the area (X)
in hectors of each field or part threof applied for
Not Applicable
N.B.: The areas shall cover whole or recognised part survey
numbers. A copy of village map in Enclosed.

(c) In case of forest areas the name of the working circle the
range and the filling series.

(d) For areas where no forest maps or cadastral maps are

available, sketch plan should be submitted on scale showing
the area applied for together with boundary, if any other
existing mining lease or prospecting license area if the area
applied for has nay common point or line with the boundaries
of existing prospecting licensee or mining lease areas.

(xii) The area applied for should be marked on plans as The area is mark on village map and
detailed below :- copy is attached.
(a) In case a cadastral map of the area is available, the
area on this map should be marked showing the name Not Applicable
of the village. Kasara No. and area in hectares of each
field and part thereof. A copy of village map is attached
and applied area is marked.
N.B. – The area applied for shall cover whole survey
numbers.

(b) In the case of forest maps, the area should be

marked on the map showing the range and felling
series.

(c) In case neither cadastral nor forest maps are

available, the area should be marked on a sketch plan
drawn to scale showing on this plan all important
surface and naturals features, the dimensions of the
lines forming the boundary of the area and the bearing
and distance of all corner points from any important,
prominent and fixed point or points. [No. 1(3)/ 68-MII,
Dt. 30-3-68]

(xiii) An affidavit, that the up-to-date income tax An affidavit regarding income tax in
returns, as prescribed under the Income Tax Act, 1961, attached.
have been filed, and the Tax due, including the tax on
account of self assessment has been paid.

(xiv) Particulars of the areas mineral wise in each State

duly supported by an affidavit for which the applicant
or any person joint in interest with him-

(a) already holds under prospecting license. Other area notified by Govt. of
Maharashtra are applied
(b) has already applied for but not granted, or simultaneously
(c) being applied for simultaneously.

(xv) Nature of joint in interest, if any

(xvi) If the applicant intends to supervise the works, his Not Application
previous experience of prospecting and mining 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.
(xvii) Financial resources of the applicant Own finance as well as from bank

(xviii) Particulars of receipted treasury challan attached

for the amount referred to at 2 above.

(xix) Any other particulars or sketch map which the A copy of map is attached.
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,

Place : Ratnagiri

Dated : /03/2009 Signature and designation of the Applicant