M-Sand Application on Private Land

PAN:

Applicant Details

Owner Type:

Individual

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:

District District:

Applicant Pincode Org. Pincode :

Contact Person Name:

Contact Person Mobile No.:

Nationality :

Place of Incorporation :

Nature Of Business :

Director Details

Director Name	PAN Number	Mobile Number	Nationality	Aadhaar No

Application Details

Permit Type:

Proposal Level:

M-Sand Plot/Site Details

Category:

Rural

Urban

District:

Taluka/CTSO:

Village:

ASSIGN SURVEY NUMBER

Category:

Rural

Urban

District:

Taluka/CTSO:

Village:

Survey No./CTS No.:

Document Name

*After removing 7/12 document survey number will be cleared.

Plot Location (Latitude):

Plot Location (Longitude):

Mineral:

Is Weigh Bridge Available:

Yes

Weigh Bridge Name:

ODeX Reference No.:

Reason For Applying:

Application Fee Demand Note

Office For Demand Note :

GRAS Office Name:

Documents

Document Name	Document Number
PAN:
Aadhaar:
GST:

Document Name

Document Name

Document Name	Valid From	Valid To

Document Name	Document Number	View

Visitor No.