Temporary Proposal

Verify By:

PAN

Mobile

PAN:

Applicant Details

Permit Type:

Individual/Proprietorship

Organization

Applicant Name Org. Name :

Applicant Mobile No. Org. Mobile No.:

Applicant Address Org. Address :

Org. Type:

Applicant Landline No.:

Applicant Email Id Org. Email Id:

Contact Person Name:

Contact Person Mobile No.:

District District:

Applicant Pincode Org. Pincode :

Document Name	Document Number
PAN: (PAN no. & PAN document mandatory)		Upload Document
Aadhar:		Upload Document
GST:		Upload Document
Incorporation Certificate:		Upload Document
Partnership Deed Certificate:		Upload Document
Shop Act/ Local Body Certificate:		Upload Document

Application Details

Application Type:

Temporary Plot Proposal

Project Self Consumption

Lease Type:

Proposal Level:

Project Details

Project Type:

Private

Government

Department:

Office:

Work Order Number
	Upload Document

Project Code:

Project Name:

Address:

Project Location (Latitude):

Project Location (Longitude):

Zero Royalty Scheme

Yes

Plot Details

Plot Location:

Category:

Rural

Urban

District:

Taluka/CTSO:

Village:

ASSIGN SURVEY NUMBER

Category:

Rural

Urban

District:

Taluka/CTSO:

Village:

Survey No.:

Document Name

Plot Location (Latitude):

Plot Location (Longitude):

Mineral:

Area (Hectare):

Quantity:

Brass

Lifting Period (Days):

Reason For Applying:

NOC from Departments

Department Name	Document Number

Application

Interstate Mineral Transport Temporary Proposal Beneficiary Proposal

Visitor No.