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Government of Andhra Pradesh Model Form - R

This document is an application form for transferring a granite mining license or lease in Andhra Pradesh. The form requests information such as: the names and addresses of the transferor and transferee, location and extent of the area proposed for transfer, license/lease details, valid mineral clearance certificates of both parties, consent affidavits, reasons for transfer, and financial details if applicable. Along with the form, sketches of the total area and proposed transfer area must be attached in triplicate with signatures.

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Vaibhav Kulkarni
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131 views2 pages

Government of Andhra Pradesh Model Form - R

This document is an application form for transferring a granite mining license or lease in Andhra Pradesh. The form requests information such as: the names and addresses of the transferor and transferee, location and extent of the area proposed for transfer, license/lease details, valid mineral clearance certificates of both parties, consent affidavits, reasons for transfer, and financial details if applicable. Along with the form, sketches of the total area and proposed transfer area must be attached in triplicate with signatures.

Uploaded by

Vaibhav Kulkarni
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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GOVERNMENT OF ANDHRA PRADESH

MODEL FORM R
Application for Transfer of Licence / Lease for Granite

See Rules 12(5)(h) (viii)

Dated the ............ day of ........ 20

Received Latest passport size Latest passport size


Photo (Transferor) Photo (Transferor)
At ................(Place) Attested by a Gazetted Attested by a
Officer to be Affixed Gazetted Officer to
On ...............(Date) be Affixed

Initial of Receiving Officer :

To :

Through :

Sir,

I/We request for sanction of Transfer of my / our Licence / Lease under the APMMC
Rules, 1966.

2. A sum of Rs. 5000/- (Rupees Five thousand only ) being the fee in respect of this
transfer application has been deposited (Vide receipt Challan No. . . . . . . . . . . . . . . . . . . . . . . . . .
Dated . . . . . . .. . . . . . . of the State Bank of India / Treasury . . . . . . . . . . . . . . . . . . . . . . . . . . . . )

3. The required particulars are given below:

I Name and address of the Transferor (Original


Licence / Lease)
1. Mineral Extent
2. Sy. No.
3. Village
4. Mandal
5. District
II Location of the area proposed for transfer
III Extent of the area proposed for Transfer

IV No. and date of Grant of the Licencee / lease

V Date and Execution and period of the Licencee / lease

VI Name and Address of the Transferee to whom the licence / lease is proposed for
Transfer
VII Whether valid MRCC of the transferor and transferee are filed.

VIII Whether consent of both the parties for the transfer in the form of an affidavit is
filed

IX Reasons for Transfer

X Whether any financial Consideration is involved in the Transaction, if so the


details thereon

Place: Signature of the Transferor

Date: Signature of Transferee

Note: 1. Sketch of the area delay indicating the area granted in favour of the transferor with
signature of the Transferor are be attached in Triplicate

2. Sketch of the area duly indicating the area intended for transfer duly signed by transferor and
transferee is to be attached in Triplicate.

3. The application should relate to One compact area only

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