412263653001|F32500785/21|05 Mar 2025 11:50:38 PM|975.000|412263653001|F32500785/21|05 Mar 2025 11:50:38 PM|975.000|412263653001|F32500785/21|05 Mar 2025 11:50:38 PM|975.
000|412263653001|F32500785/21|05 Mar 2025 11:50:38 PM|975.000|412263653001|F32500785/21|05 Mar 2025 11:50:38 PM|975.000|412263653001|F32500785/…
F32500785/21 05-Mar-2025 BR29GA7409 975.000
Destination Copy F32500785/21 05-Mar-2025 BR29GA7409 975.000
Check Gate Copy
TRANSPORT
06 Mar 2025 4:20:36 AM CHALLAN TRANSPORT
06 Mar 2025 4:20:36 AM CHALLAN
FORM "D" FORM "D"
F32500785/21 05-Mar-2025 BR29GA7409 975.000
[Rules 9]
F32500785/21 05-Mar-2025 BR29GA7409 975.000
[Rules 9]
06 (See
Mar 2025
section 23-C 4:20:36 AM (Developement & Regulation) Act, 1957)
of Mines & Minerals 06 (See
Mar 2025
section 23-C 4:20:36 AM (Developement & Regulation) Act, 1957)
of Mines & Minerals
ORIGINAL (NOT TRANSFERABLE) ORIGINAL (NOT TRANSFERABLE)
F32500785/21 05-Mar-2025 BR29GA7409 975.000 F32500785/21 05-Mar-2025 BR29GA7409 975.000
05-Mar- 05-Mar-
Serial Number : F32500785/21 Date : 2025 Serial Number : F32500785/21 Date : 2025
06 Mar 2025 4:20:36 AM 06 Mar 2025 4:20:36 AM
F32500785/21Transportation
05-Mar-2025 for Inter State/Intra State
BR29GA7409 975.000
(To be filled by the Dealer before transport of mineral)
F32500785/21Transportation
05-Mar-2025 for Inter State/Intra State
BR29GA7409 975.000
(To be filled by the Dealer before transport of mineral)
06 Mar 2025 4:20:36 AM ANJANEE KUMAR-MAUZA GASEDAG KHATA 06 Mar 2025 4:20:36 AM ANJANEE KUMAR-MAUZA GASEDAG KHATA
NO 121 OLD 141 NEW PLOT NO 15 P 18 P OLD NO 121 OLD 141 NEW PLOT NO 15 P 18 P OLD
F32500785/21 05-Mar-2025
218 P 94 PBR29GA7409
1. Name and Address of the Dealer
975.000
95P AREA 4.10 ACRE RANKA, F32500785/21 05-Mar-2025
218 P 94 PBR29GA7409
1. Name and Address of the Dealer
975.000
95P AREA 4.10 ACRE RANKA,
GARHWA Po.Ranka Raj SO -822125 GARHWA Po.Ranka Raj SO -822125
06 Mar 2025 4:20:36 AM 06 Mar 2025 4:20:36 AM
ANJANEE KUMAR-412263653001-MAUZA ANJANEE KUMAR-412263653001-MAUZA
F32500785/21 05-Mar-2025
2. Details of the Dealer’s Permit
BR29GA7409 975.000
GASEDAG KHATA NO 121 OLD 141 NEW PLOT
NO 15 P 18 P OLD 218 P 94 P 95P AREA 4.10
F32500785/21 05-Mar-2025
2. Details of the Dealer’s Permit
BR29GA7409 975.000
GASEDAG KHATA NO 121 OLD 141 NEW PLOT
NO 15 P 18 P OLD 218 P 94 P 95P AREA 4.10
ACRE RANKA, GARHWA Po.Ranka Raj SO ACRE RANKA, GARHWA Po.Ranka Raj SO
06 Mar 2025 4:20:36 AM -822125 06 Mar 2025 4:20:36 AM -822125
F32500785/21
3. 05-Mar-2025
Name of the Mineral/Grade BR29GA7409
STONE Stone Chips -No Size 975.000 F32500785/21
3. 05-Mar-2025
Name of the Mineral/Grade BR29GA7409
STONE Stone Chips -No Size 975.000
06Name
4. Mar 2025of4:20:36
and address the purchaserAM
to whom mineral has been sold and to be supplied 06Name
4. Mar 2025of4:20:36
and address the purchaserAM
to whom mineral has been sold and to be supplied
DEEPAK KUMAR PATHAK 0-CONSTRUCTION OF ROAD FROM MANGARAHI DEEPAK KUMAR PATHAK 0-CONSTRUCTION OF ROAD FROM MANGARAHI
F32500785/21 05-Mar-2025 BR29GA7409 975.000
BANDH VILLAGE NAWADIH AND DHARMDIHA TOLA IN KALYANPUR TO NEW F32500785/21 05-Mar-2025 BR29GA7409 975.000
BANDH VILLAGE NAWADIH AND DHARMDIHA TOLA IN KALYANPUR TO NEW
SAMAHARNALAY GARHWA DIST GARHWA,JHARKHAND , Garhwa PS, GARHWA, SAMAHARNALAY GARHWA DIST GARHWA,JHARKHAND , Garhwa PS, GARHWA,
06 Mar 2025 4:20:36 AM
JHARKHAND,Pin Code- 822114 06 Mar 2025 4:20:36 AM
JHARKHAND,Pin Code- 822114
F32500785/21
5. Quantity (in
Cft)
975.00005-Mar-2025 BR29GA7409
Vehicle No 975.000
BR29GA7409 F32500785/21
5. Quantity (in
Cft)
975.00005-Mar-2025 BR29GA7409
Vehicle No 975.000
BR29GA7409
06 Mar
6. Sale Price as2025 4:20:36
mentioned in AM 06 Mar 2025 4:20:36 AM
6. Sale Price as mentioned in
Total Sale Total Sale
INVOICE (Submitted to Sales Tax 20.00 19500.00 INVOICE (Submitted to Sales Tax 20.00 19500.00
F32500785/21 05-Mar-2025 BR29GA7409
Department) per MT/CFT/M3
Price 975.000 F32500785/21 05-Mar-2025 BR29GA7409
Department) per MT/CFT/M3
Price 975.000
06 Mar
7. Rate 2025 NA
of Royalty 4:20:36 AM Royalty NA 06 Mar 2025 NA
7. Rate of Royalty
4:20:36 AM Royalty NA
Amount Amount
F32500785/21 05-Mar-2025 BR29GA7409 975.000
8. Name and address of Vehicle
F32500785/21 05-Mar-2025 BR29GA7409 975.000
8. Name and address of Vehicle
MS PALAK INFRA PVT LTD-NA MS PALAK INFRA PVT LTD-NA
owners
06 Mar 2025 4:20:36 AM 06 Mar 2025 4:20:36 AM
owners
F32500785/21
9. 05-Mar-2025
Name and address of the BR29GA7409
Driver in case the minerals 975.000
is to be transported by Road F32500785/21
9. 05-Mar-2025
Name and address of the BR29GA7409
Driver in case the minerals 975.000
is to be transported by Road
06 Mar
ARVIND 2025 4:20:36 AM
KUMAR,CHHATTARPUR-7050374806 06 Mar
ARVIND 2025 4:20:36 AM
KUMAR,CHHATTARPUR-7050374806
F32500785/21 CONSTRUCTION
05-Mar-2025
FROM
OF ROAD
BR29GA7409 975.000
MANGARAHI BANDH F32500785/21 CONSTRUCTION
05-Mar-2025 BR29GA7409 975.000
OF ROAD
FROM MANGARAHI BANDH
VILLAGE NAWADIH AND VILLAGE NAWADIH AND
06 Mar 2025 4:20:36 AM
DHARMDIHA TOLA IN 06 Mar 2025 4:20:36 AM
DHARMDIHA TOLA IN
KALYANPUR TO NEW KALYANPUR TO NEW
Direct to Destination
F32500785/21 05-Mar-2025 BR29GA7409
Mineral
975.000
10. Place of delivery of SAMAHARNALAY GARHWA
Route by Road F32500785/21 05-Mar-2025 BR29GA7409
Mineral
975.000
Direct to Destination
10. Place of delivery of SAMAHARNALAY GARHWA
Route by Road
DIST GARHWA,JHARKHAND , DIST GARHWA,JHARKHAND ,
06 Mar 2025 4:20:36 AM Garhwa PS, GARHWA,
JHARKHAND,Pin Code- 822114
06 Mar 2025 4:20:36 AM Garhwa PS, GARHWA,
JHARKHAND,Pin Code- 822114
GARHWA Po.Garhwa SO
F32500785/21 05-Mar-2025 BR29GA7409 975.000
JHARKHAND PIN-822114 F32500785/21 05-Mar-2025 BR29GA7409 975.000
GARHWA Po.Garhwa SO
JHARKHAND PIN-822114
06 Mar
Distance 2025 4:20:36
in(K.M.) 69.900 AM 06 Mar
Distance 2025 4:20:36
in(K.M.) 69.900 AM
F32500785/21 05-Mar-2025
11. Date of dispatch of
Mineral
05 Mar 2025 BR29GA7409 975.000
Time 11:50:36 PM F32500785/21 05-Mar-2025
11. Date of dispatch of
Mineral
05 Mar 2025 BR29GA7409 975.000
Time 11:50:36 PM
06I/We
Mar 2025
here by declare4:20:36
that the aboveAM
statements are correct and complete to the best of 06I/We
Mar 2025
here by declare4:20:36
that the aboveAM
statements are correct and complete to the best of
my/our Knowledge and belief. my/our Knowledge and belief.
F32500785/21 05-Mar-2025 BR29GA7409 975.000 F32500785/21 05-Mar-2025 BR29GA7409 975.000
06 ofMar
Seal 2025
Competent 4:20:36 AM
Officer Signature Of Dealer 06 ofMar
Seal 2025
Competent 4:20:36 AM
Officer Signature Of Dealer
06 Mar 2025 4:20:36
Challan Valid 05 Mar 2025 11:50:38 06 Mar 2025 4:20:36 05 Mar 2025 11:50:38
F32500785/21
Upto AM 05-Mar-2025 BR29GA7409
Printed on 975.000PM F32500785/21
AM 05-Mar-2025 BR29GA7409
Challan Valid
Upto
Printed on 975.000PM
06 Mar 2025 4:20:36 AM 06 Mar 2025 4:20:36 AM
F32500785/21 05-Mar-2025 BR29GA7409 975.000 F32500785/21 05-Mar-2025 BR29GA7409 975.000
06 Mar 2025 4:20:36 AM
RESULT OF CHECKING IN ROUTE 06 Mar 2025 4:20:36 AM
RESULT OF CHECKING IN ROUTE
Designation and Head Quaters Description Quantity of the Dated signature of the Designation and Head Quaters Description Quantity of the Dated signature of the
F32500785/21 05-Mar-2025
of the authority by BR29GA7409
of mineral Mineral 975.000
authority mentioned F32500785/21 05-Mar-2025
of the authority by BR29GA7409
of mineral Mineral 975.000
authority mentioned
whom the transport of the actually in column-1 and place of whom the transport of the actually in column-1 and place of
06 Mar 2025 4:20:36 AM
mineral was checked. transported checking. 06 Mar 2025 4:20:36 AM
mineral was checked. transported checking.
F32500785/21 05-Mar-2025 BR29GA7409 975.000
Note- (1) Separate form should be used for each consignment
F32500785/21 05-Mar-2025 BR29GA7409 975.000
Note- (1) Separate form should be used for each consignment
06 Mar 2025 4:20:36 AM 06 Mar 2025 4:20:36 AM
(2) (a) In case of transport accross or byond check post a copy of the form (2) (a) In case of transport accross or byond check post a copy of the form
F32500785/21 05-Mar-2025 BR29GA7409 975.000
should accompany the consignment. F32500785/21 05-Mar-2025 BR29GA7409 975.000
should accompany the consignment.
412263653001|F32500785/21|05 Mar 2025 11:50:38 PM|975.000|412263653001|F32500785/21|05 Mar 2025 11:50:38 PM|975.000|412263653001|F32500785/21|05 Mar 2025 11:50:38 PM|975.000|412263653001|F32500785/21|05 Mar 2025 11:50:38 PM|975.000|412263653001|F32500785/21|05 Mar 2025 11:50:38 PM|975.000|412263653001|F32500785/…