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ApplicantType: *

First Name:
Last Name:
Address:
Occupation:
Nationality:
Capital Available - Bank Ref Doc proof Submitted:

Business Address:
Local Representative Address:
Nature of Business:
Authorized Subscribe & Paidup Capital:
Name of Director:
Name and Nationality of Principal Share holders:
Name of Mineral:
License Type Required:

Period for Exploration or Mining Permit:
Location:
District:
Taluka:
Closest Town-Village:
* required