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Form 1-A Mine Opening Notification

This document is a Form 1-A Notice of Opening that provides key details about a new mine opening, including: 1) The mine's name, owner, and location coordinates and address. 2) Contact information for the mine owner, agent, and manager. 3) The intended and actual dates of mine opening. 4) Confirmation of whether required mine plans and a Safety Management Plan have been submitted.
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0% found this document useful (0 votes)
428 views3 pages

Form 1-A Mine Opening Notification

This document is a Form 1-A Notice of Opening that provides key details about a new mine opening, including: 1) The mine's name, owner, and location coordinates and address. 2) Contact information for the mine owner, agent, and manager. 3) The intended and actual dates of mine opening. 4) Confirmation of whether required mine plans and a Safety Management Plan have been submitted.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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FORM 1-A

Notice of opening

(See Regulation 3)

From

(Owner, agent or manager)

Name

Postal address

District

State

PIN

Mobile Number

Telephone No. (Land line)

Fax Number

Email ID

To

1. The Chief Inspector of Mines, DGMS, Dhanbad - 826001


2. The Regional Inspector of Mines
3. The District Magistrate

Sir,

I have to furnish the following particulars in respect of opening of

1. Name of mine….
2. Name of owner/company/firm/association…
3. Location of the mine
latitude and longitude*

Lease number(s)-

Village/area/road–

Post Office-

Police Station-
Sub-Division (Taluq)/Tehsil-

Railway station(nearest)-

District-

State-

PIN-

4. Labour Identification Number (LIN), if any

5. Mine Code, if any

6. Details of Owner, Agent, Manager


Sl. Particulars Owner Nominated Agent Manager

No. Owner

i. Name

ii. Father’s name

iii. Aadhaar no.*

iv. Address

Village/area/road–

Post Office-

Police Station-

Sub-Division (Taluq)/Tehsil-

Railway station(nearest)-

District-

State-

PIN-

v. Mobile Number

vi. Telephone number(Landline with STD code)


vii. Fax number

viii. Email ID

7. Date on which it is intended to open the mine(DD/MM/YYYY)


8. Plan(s) under reg. 3(1) and 65(1)(a) of CMR,2017
enclosed: Yes/No; 8.1 If yes, specify plans Nos. with
date…………………………

9. Safety Management Plan (SMP) under Regulation 104 of CMR,


2017 enclosed-Yes/No;
9.1 If yes, specify reference number with date…………………………

10. Actual date of opening (DD/MM/YYYY)

Yours faithfully

Signature:

Designation: Owner / Agent /


Manager

Date:

* Optional
…………………………………………………………………………………………………………
…………………

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