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Metalliferous Mines Regulations, 1961 - Directorate General of ...

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State …………………….<br />

3. Name <strong>of</strong> Owner …………………………<br />

Postal address <strong>of</strong> owner………………<br />

4. Name <strong>of</strong> managing agents, if any ………………<br />

Postal address <strong>of</strong> managing agents, ………..<br />

5. Name <strong>of</strong> agent, if any…………………………….<br />

Postal address <strong>of</strong> agent ………………………<br />

6. Name <strong>of</strong> manager ………………………………..<br />

Postal address <strong>of</strong> manager …………………..<br />

7. Tables A to C duly filled in, are attached.<br />

Certified that the information given above and in Tables A to C below is correct to the gest <strong>of</strong> my<br />

knowledge.<br />

Yours faithfully,<br />

Signature …………………………<br />

Designation : Owner/Agent/Manager<br />

(I)<br />

TABLE A<br />

MACHINERY<br />

Number in use<br />

1. Rock drills :<br />

(i)<br />

(ii)<br />

(iii)<br />

2. Heavy earth moving machinery :<br />

(i)<br />

(ii)<br />

(iii)<br />

(iv)<br />

(v)<br />

3. Mechanical loaders used below ground :<br />

(i)<br />

(ii)<br />

(iii)<br />

4. Conveyors : (2)<br />

(i)<br />

(ii)<br />

(iii)<br />

_____________________________________________________________________<br />

Signature <strong>of</strong> person<br />

Signing the return<br />

INSTRUCTIONS

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