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    Addres Candidate OU, A: R Va RA

    Uploaded by

    Anshul Rathi
    1. This document is an application for grant of manager's authorization under Regulation 46 of Mines Act, 1952. 2. It provides details of the applicant such as name, father's name, date of birth, address, qualifications, experience in mining, and details of the mine where employed. 3. If approved, the authorization would allow the applicant to work as a manager in a mine for a specified period of time.

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    © All Rights Reserved
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    Addres Candidate OU, A: R Va RA

    Uploaded by

    Anshul Rathi
    15 views2 pages
    1. This document is an application for grant of manager's authorization under Regulation 46 of Mines Act, 1952. 2. It provides details of the applicant such as name, father's name, date of birth, address, qualifications, experience in mining, and details of the mine where employed. 3. If approved, the authorization would allow the applicant to work as a manager in a mine for a specified period of time.

    Original Description:

    DGMD form 5

    Original Title

    6

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    1. This document is an application for grant of manager's authorization under Regulation 46 of Mines Act, 1952. 2. It provides details of the applicant such as name, father's name, date of birth, address, qualifications, experience in mining, and details of the mine where employed. 3. If approved, the authorization would allow the applicant to work as a manager in a mine for a specified period of time.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views2 pages

    Addres Candidate OU, A: R Va RA

    Uploaded by

    Anshul Rathi
    1. This document is an application for grant of manager's authorization under Regulation 46 of Mines Act, 1952. 2. It provides details of the applicant such as name, father's name, date of birth, address, qualifications, experience in mining, and details of the mine where employed. 3. If approved, the authorization would allow the applicant to work as a manager in a mine for a specified period of time.

    Copyright:

    © All Rights Reserved
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    APPICAT1ON 1OIM 1ON AN AUION17A1ON

    REGULAT1ON 1M(0) Or
    MIIAIIIfTNOU, MINES GUAr1O
    UNDER

    ty
    t A'
    Nrea
    inReN)Am. S) uk Ront,

    1|17 (19 rudl,,

    une.1
    hc calom Post:1 o alwd uuy
    6
    Pin 3\12
    Pa }hn
    AOTANS OF APPLICANT:
    mEHT
    1sumAe.
    R VA MA ITO
    SR N G N D RA
    Na me
    0 } . ) nacon 1 n i 1 i n
    Fother's name
    evidence):1 016 -19 &(1°
    Date of Strth &Age (Endose locumenary 7.E a
    OU ,
    Addresofcandidate Mehaawne T9 a com
    26,bmailaddres
    5 Contaxt No 964A6
    4adhar
    CeS4108
    (Cnclbse Cpy of
    Card Nnnher
    Aadhar)
    STI04-11292

    ENGINeeR
    6. QUALIFICATTON: M)NIN
    PlomA
    Mining Enginecrirg
    D
    . Diploma/Degree
    lenager's Perinit Na.

    Secord Cass Man ager's


    Certilicate No. & date TA
    5. be enclot).
    Photo copies of the ccrlulicates to
    (Self attested Jnd valdity date
    date
    Foreman 's Certficate No, certificatcs to be enclosedd).
    Photo copies of the
    (Self attested
    No., tate and valid1ty
    dulc NIA
    5. Mate's Certificate
    attested Pho:o copEs).
    (Encdose Self examination held: new minE
    where last nedcal of permil for è
    6. Center and date vith Bharalkosh (lagin
    dgms.gov. 1) for grant
    deposited onl1ne fee not requirad
    Fee Rs. 10/- (RS. Ten) samc mune under
    Regulation 346),
    or for first time.
    In casz cf 1enewal for

    Mate/ Forenan)
    7. EXPERIENCE:
    Period Capaaty(as
    Mines
    Fra'n To Pal
    3-19L2Plm miniss
    Sord sJo 3:1%|20
    RaTPUT 6-S-1e20-IL20
    Kharni a Y K 4
    (Enclose documentary evidence)
    0)of the Mines Act,
    As te:lined in Section 2
    8.
    Details of Mines
    1952 including opencast workings, worksthop,
    Mineral benefic alion plant etc.

    of the Mine M.L Al S 2eroS 3 harpi ftaln


    a) 1Name & ML/QL No.
    Numbert1IN) S4 6 2
    ij Labour lúentification 14 t |
    Return wit
    years Annualportel{Return
    i) Have youfiledlast
    Suvidha'"
    online "Shran
    unified
    Mecember?
    period from January to submission id.
    if Yes, please indicate
    f No, ream tm

    Mine (Openmast PelowaIOU)


    oPon cosmjho
    bype of
    )Fitert ofthe Mu A boy Sod m
    (lo)
    d Avriage monthly pronho tn
    cNo of shis wonkn
    nNo of pits oennu() O 2
    al Sia M eVCavatio
    fret Hoght/Depth
    No No. of Excavatum
    40
    60 30

    (inclucding hirexl nac.hinery, a7)


    s t ot ach1neries In ue, vilh 1,.

    Make & 1ode! fio of


    Madunery
    S.No machine (Fachmyiinery
    Fxcavator O 6
    EBLeace wjye Saw 20) S 66
    2
    pper/ractor 21
    2
    Drill mc 2]C
    coImpressCr 20) (
    eY Pump 20 S
    10. is Hecnaty used in the mines YES NO 455H P
    1. is Compressed ar in use
    12. 1s explosve in usc? If so, daly consumpton
    13. Ore dress1ng/handl1ng/procesS1ng plant is attacned with the mine No
    14. Ref. Of previous perrnission
    15 Mode of tansport TYiAler
    16. Daily average emplcyrnent in the Mines:
    S
    Place Male Female Tcta
    Surface 2
    Opencast TS
    |UnderarOund
    17. Details of supervisory staff employed in the Mines (Qualified & Unqulified):

    Name Designaticn Ccrtificate No. & date of Date of validt


    issue
    Hima Sinsh_ mons me 02d6,22-s-20 2I- S

    I solemnly affim that i am not working in any capacity in ary other mine and the informaten iurushad are
    coTea to the best of my knovledge.

    Phace
    Date Name &Signature of the apohcant.

    I/We solernnly affirm that above candidate is employed in our minc and forvard his ppplicat on for Grant o
    Managers authoriration
    PMaoe: 3 honi lCalo 0A

    Date 23- 11 2020


    Sgnatureof Kine dineriAK
    KmEXH Formt SEN)
    . SPAR MINES
    Te. , it,-Bhilwara
    (Narne & stynature of all partuers in case of partner ship firn1)

    Pupe 2 of2

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