Schedule-12
(Relating Sub-rule (1) of Rule 34)
Application for License of Mining Operation of Genera
Construction Oriented Minerals
The District Development Committee,
…………………………….District
Dear Sir/Madam,
I/We have, hereby, applied to obtain a license for excavation in the field
of ………………..minerals of ordinary construction oriented mining in the
following area having specified the following details under Mines
and Mineral Act, 1985 (2042) and Mines and Minerals Rule,
1999 (2056).
1. Person’s
Name: Occupation:
Postal address: Fax No.:
Telephone: Telex No.:
2. Corporate body’s/firm’s/company’s:
Name:
Postal address: Fax No.:
Telephone: Registered date and No.
Office where registered:
Chief official:
3. Intended minerals to perform mining operation:
4. Intended duration desired for mining operation:
5. Provision of technician:
1. If applicant himself:
a. Professional qualification and training:
b. Experience:
2. Other, if any:
a. Name and address:
b. Professional qualification and training:
c. Experience:
6. The four boundary details of the desired area for mining operation of
general construction – oriented minerals.
Having made the main sign at………………………………….……..
under………………………..Municipality/ V.D.C. of …………….…….
District. of…………….. Zone, ………………………………………..
meter west from………………. meter east from ………………….. meter
north from…………………… meter south from ……….. the sign total
…………..square k.m.
Attached documents
1.
2.
3.

Applicant’s
Signature:
Name:
Date: