Khanij Online

Application for Analysis of Mineral Sample

Applicant Details

Applicant Name *

Organization Name*

Mobile No..*

E-mail*

District*

Block*

Pin Code*

Complete postal address*

Maximum character should be 500

Area Of Mining in Hectares*

Sample Details

Sample No..*

Type of Sample*

Sample Description*

Maximum character should be 500

Desire Radical / Element in Sample*

Sample Received Place*

If Sample collected from any mines *

Yes

No.

Mines Name*

Grant Order No.*

Grant Order Date*

Address*

Maximum character should be500

Aim of research work/ Survey/ Mining*

Maximum character should be 500

Remarks*

Maximum character should be500

Sl.No.	Sample No.	Type of Sample/Description	Desire Radical / Element in Sample	Sample Received Place	If Sample collected from any mines then( Order number,Mines Name and Date)	Address	Aim of research work/ Survey/ Mining	Remarks	Action

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Declaration - I declare that all the information given above is true as per my knowledge and belief. I am aware that if any of the above information is found to be false or untrue, there may be penalty / penalty under the appropriate rules. The Department of Mineral Resources will not be responsible for authenticating any of the above information.

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