ORIGINAL COPY DUPLICATE COPY

GOVERNMENT OF ODISHA GOVERNMENT OF ODISHA

DEPARTMENTOF STEEL & MINES DEPARTMENT OF STEEL & MINES
FORM-Y FORM-Y
[Seerule 58(1)] Pass A2503100114/1/1 [Seerule 58(1)] Pass A2503100114/1/1
No. No.
TRANSIT PASS TRANSIT PASS
FOR MINOR MINERALS FOR MINOR MINERALS

1. Book : --- Date& : 31-May-2025 08:25:30 AM - 31-May- 1. Book : --- Date & : 31-May-2025 08:25:30 AM - 31-May-
No. Time 2025 012:30:00 PM No. Time 2025 12:30:00 PM
2. Circle Mining Office : GANGALA 2. Circle Mining Office : GANGALA
3. Name of the 3. Name of the
Quarry/Lease/Sourceof : PODAGUDA Quarry/Lease/Sourceof : PODAGUDA
Auction Auction
4. Name of the 4. Name of the
Licensee/Lessee/Permit Licensee/Lessee/Permit
: LALIT SOMANI : LALIT SOMANI
Holder/Auction Holder/Auction
Holder/AuctionPurchaser Holder/AuctionPurchaser
RAMAKRUSHNA RAMAKRUSHNA
5. : 5. :
ANUGULIA , Route : GOBINDPALLI ANUGULIA , Route : GOBINDPALLI
Destination Destination
JEYPORE JEYPORE
6. Minor 6. Minor
: SAND : SAND
Mineral Mineral
7. Permit : NA Date : NA 7. Permit : NA Date : NA
No. No.
8. QuantityPermitted 8. QuantityPermitted
: 16.00 Cum : 16.00 Cum
(Cum/Tonnes) (Cum/Tonnes)
9. Measurement of Mineral in Carrier (in meter) : OD30G4531 9. Measurement of Mineral in Carrier (in meter) : OD30G4531
Length
Length Breadth Height
1N
0.ACubic Content NA NA Breadth Height
NA NA NA
: 16.00
(Cum) 10. Cubic Content : 16.00
11. Weight ofthe Vehicle NA (Cum)
: Tare : NA
(Tonnes) Gross 11. Weight of the Vehicle : NA Tare : NA
12. Weight ofthe : NA (Tonnes) Gross
Mineral 12. Weightofthe : NA
Mineral
Signatureof the Signature of the Signature of the
personIssuing carrierDriverwith checkingstaffwith Signature of the Signatureofthe Signatureofthe
with date date date person Issuing carrier Driver checking staff
with date with date with date
Signatureofthepersonreceiving SignatureofInspector
at the destination with date I/C with date & time
Signatureofthepersonreceiving SignatureofInspector
at the destination with date I/C with date & time
Office Seal
Office Seal