I) Type of Application *
II) Details of the applicant
III) Residence/Firm/Company Address
IV) Permanent Address (Click here if above Address is same)
V) Representative Details
VI) Work Details
A) Purpose of Mineral Used For.*
VIII) Details of the area in respect of which Permit is required
Survey and Range Details *
XI) Name of the Mineral applied.*(Note : Please Add atleast one mineral with Quantity and Unit)
X) Mineral requested quantity for permit. *
IX) Geo co-ordinates of the area (Minimum 3 entries) *
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 (Upload as png/jpeg/jpg format.)* *
XIV) Aadhaar Card (Upload as png/jpeg/jpg format.)* *
XV) Upload Affidavit duly notarized for MRCC (Upload as png/jpeg/jpg/pdf format.)* *
XVI) Affidavit duly notarized for ITCC(Upload as png/jpeg/jpg/pdf format.)* *
XVII) Applied area sketch (Upload as png/jpeg/jpg/pdf format.)* *
XVIII) If obtained NOC for Competent Authority *
obtained NOC for Competent Authority (Upload as png/jpeg/jpg/pdf format.)* *
I declare that the above particulars are correct and request that a Temporary Permit may kindly be granted. *