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VI) Details of the area in respect of which License is required *

VII) Income Tax returns for the last 3 years.*

VIII) GST/VAT registration No *

IX) GST/VAT registration No and Jurisdiction Document (Upload as png/jpeg/jpg/pdf format.)*

X) Affidavit showing the details of Mining/Quarry Leases and mineral based industries held within state by applicant or its partner. (Upload as png/jpeg/jpg/pdf format.)*

XI) Photo of the Applicant (Upload as png/jpeg/jpg format.)*

XII) Signature of the Applicant (Upload as png/jpeg/jpg format.)*

XIII) PAN Card No (Upload as png/jpeg/jpg format.)*

XIV) Aadhar Card No (Upload as png/jpeg/jpg format.)*

XV) Affadivit, duly notarized, to the effect that the applicant had not been convicted under M.M(D & R) Act 1957 and the rules made there under. (Upload as png/jpeg/jpg/pdf format.)

a)Document Name :

b)Document Name :

c)Document Name :

   I/We hereby declare that I/We have read and understood all the provisions of the A.P Mineral Dealer Rules, 2017 made there under and the conditions of the License and I/We agree to abide by the same . *