102157393001|F32501110/3|24 Mar 2025 06:35:44 PM|422.000|102157393001|F32501110/3|24 Mar 2025 06:35:44 PM|422.000|102157393001|F32501110/3|24 Mar 2025 06:35:44 PM|422.
000|102157393001|F32501110/3|24 Mar 2025 06:35:44 PM|422.000|102157393001|F32501110/3|24 Mar 2025 06:35:44 PM|422.000|102157393001|F325011…
Destination
F32501110/3 24-Mar-2025 Copy
JH05CM4528 422.000 Check Gate
F32501110/3 24-Mar-2025 Copy
JH05CM4528 422.000
TRANSPORT
25 Mar 2025 12:38:42 AM CHALLAN TRANSPORT
25 Mar 2025 12:38:42 AM CHALLAN
FORM "D" FORM "D"
F32501110/3 24-Mar-2025 JH05CM4528 422.000 F32501110/3 24-Mar-2025 JH05CM4528 422.000
[Rules 9] [Rules 9]
25(See
Mar 2025
section 23-C of12:38:42 AM
Mines & Minerals (Developement & Regulation) Act, 1957)
25(See
Mar 2025
section 23-C of12:38:42 AM
Mines & Minerals (Developement & Regulation) Act, 1957)
F32501110/3 24-Mar-2025 JH05CM4528 422.000
ORIGINAL (NOT TRANSFERABLE) F32501110/3 24-Mar-2025 JH05CM4528 422.000
ORIGINAL (NOT TRANSFERABLE)
24-Mar- 24-Mar-
25 Mar 2025 12:38:42 AM
Serial Number : F32501110/3 Date :
2025 25 Mar
Serial Number2025 12:38:42 AM
: F32501110/3 Date : 2025
F32501110/3 Transportation
24-Mar-2025 for InterJH05CM4528
State/Intra State 422.000 F32501110/3 Transportation
24-Mar-2025 JH05CM4528 422.000
for Inter State/Intra State
(To be filled by the Dealer before transport of mineral) (To be filled by the Dealer before transport of mineral)
25 Mar 2025 12:38:42MsAM Sabita Devi-Chapidih Jamshedpur Khata no
25 Mar 2025 12:38:42MsAM Sabita Devi-Chapidih Jamshedpur Khata no
1. Name and Address of the Dealer 38 Plot No 101 Area 0.32, EAST SINGHBUM 1. Name and Address of the Dealer 38 Plot No 101 Area 0.32, EAST SINGHBUM
F32501110/3 24-Mar-2025 JH05CM4528
Po.Hata Chowk SO -832113 422.000 F32501110/3 24-Mar-2025 JH05CM4528
Po.Hata Chowk SO -832113 422.000
25 Mar 2025 12:38:42MsAM Sabita Devi-102157393001-Chapidih 25 Mar 2025 12:38:42MsAM
Sabita Devi-102157393001-Chapidih
2. Details of the Dealer’s Permit Jamshedpur Khata no 38 Plot No 101 Area 0.32, 2. Details of the Dealer’s Permit Jamshedpur Khata no 38 Plot No 101 Area 0.32,
F32501110/3 24-Mar-2025 JH05CM4528
EAST SINGHBUM Po.Hata Chowk422.000
SO -832113 F32501110/3 24-Mar-2025 JH05CM4528
EAST SINGHBUM Po.Hata Chowk 422.000
SO -832113
25 Mar 2025 12:38:42STONE
3. Name of the Mineral/Grade AMStone Chips -Less than 120mm 25Name
3. Marof the2025 12:38:42STONE
Mineral/Grade AMStone Chips -Less than 120mm
4. Name and address of the purchaser to whom mineral has been sold and to be 4. Name and address of the purchaser to whom mineral has been sold and to be
F32501110/3 24-Mar-2025 JH05CM4528 422.000
supplied F32501110/3 24-Mar-2025 JH05CM4528 422.000
supplied
25 Mar 2025 12:38:42 AM
NNB ENGINEERS PRIVATE LIMITED-CHAKULIA MATHANI ROAD, HOTMIX 25 ENGINEERS
NNB Mar 2025 12:38:42
PRIVATE AM
LIMITED-CHAKULIA MATHANI ROAD, HOTMIX
PLANT PITAJURI, Chakulia, EAST SINGHBUM, JHARKHAND,Pin Code- 832302 PLANT PITAJURI, Chakulia, EAST SINGHBUM, JHARKHAND,Pin Code- 832302
F32501110/3
5. Quantity (in 24-Mar-2025 JH05CM4528 422.000 F32501110/3
5. Quantity (in 24-Mar-2025 JH05CM4528 422.000
422.000 Vehicle No JH05CM4528 422.000 Vehicle No JH05CM4528
Cft) Cft)
25 Mar 2025 12:38:42 AM 25 Mar 2025 12:38:42 AM
6. Sale Price as mentioned in 6. Sale Price as mentioned in
Total
F32501110/3
INVOICE 24-Mar-2025
(Submitted to Sales 20.00 JH05CM4528
Sale 8440.00422.000 F32501110/3 24-Mar-2025 JH05CM4528
INVOICE (Submitted to Sales
20.00
Total Sale 422.000
8440.00
Tax Department) per Tax Department) per Price
Price
25 Mar 2025 12:38:42 AM
MT/CFT/M3 25 Mar 2025 12:38:42 AM
MT/CFT/M3
F32501110/3
7. Rate of Royalty 24-Mar-2025Royalty
NA JH05CM4528
Amount
NA 422.000 F32501110/3
7. Rate of Royalty 24-Mar-2025Royalty
NA JH05CM4528
Amount
NA 422.000
25Name
8. Mar 2025of12:38:42
and address Vehicle AM
CHITTARANJAN DAS-NA
25Name
8. Mar 2025of12:38:42
and address Vehicle AM
CHITTARANJAN DAS-NA
owners owners
F32501110/3 24-Mar-2025 JH05CM4528 422.000 F32501110/3 24-Mar-2025 JH05CM4528 422.000
9. Name and address of the Driver in case the minerals is to be transported by Road 9. Name and address of the Driver in case the minerals is to be transported by Road
25 Mar 2025 12:38:42 AM 25 Mar 2025 12:38:42 AM
DHONIRAM,ROLADIH-6205174889 DHONIRAM,ROLADIH-6205174889
F32501110/3 24-Mar-2025 JH05CM4528 422.000 F32501110/3 24-Mar-2025 JH05CM4528 422.000
CHAKULIA MATHANI ROAD, CHAKULIA MATHANI ROAD,
25 Mar 2025 12:38:42 AM HOTMIX PLANT PITAJURI, 25 Mar 2025 12:38:42 AM
HOTMIX PLANT PITAJURI,
10. Place of delivery Chakulia, EAST SINGHBUM, Direct to 10. Place of delivery Chakulia, EAST SINGHBUM, Direct to
Route
F32501110/3
of Mineral 24-Mar-2025 JH05CM4528 422.000
JHARKHAND,Pin Code- 832302 Destination by Road F32501110/3 24-Mar-2025
of Mineral JHARKHAND,Pin Code- 832302 Route Destination
JH05CM4528 422.000by Road
EAST SINGHBUM Po.Pitajuri EAST SINGHBUM Po.Pitajuri
25 Mar 2025 12:38:42 AM BO JHARKHAND PIN-832302
25 Mar 2025 12:38:42 AM
BO JHARKHAND PIN-832302
Distance in(K.M.) 101.000 Distance in(K.M.) 101.000
F32501110/3 24-Mar-2025 JH05CM4528 422.000 F32501110/3 24-Mar-2025 JH05CM4528 422.000
11. Date of dispatch of 24 Mar 2025 11. Date of dispatch of
Time 06:35:42 PM 24 Mar 2025 Time 06:35:42 PM
25 Mar 2025 12:38:42 AM
Mineral 25 Mar 2025 12:38:42 AM
Mineral
I/We here by declare that the above statements are correct and complete to the best of I/We here by declare that the above statements are correct and complete to the best of
F32501110/3
my/our Knowledge and 24-Mar-2025
belief. JH05CM4528 422.000 F32501110/3 24-Mar-2025 JH05CM4528 422.000
my/our Knowledge and belief.
25 Mar 2025 12:38:42 AM 25 Mar 2025 12:38:42 AM
Seal of Competent Officer Signature Of Dealer Seal of Competent Officer Signature Of Dealer
F32501110/3
Challan Valid
24-Mar-2025
25 Mar 2025 12:38:42
JH05CM4528 422.000
24 Mar 2025 06:35:44
F32501110/3
Challan Valid
24-Mar-2025 JH05CM4528
25 Mar 2025 12:38:42
422.000
24 Mar 2025 06:35:44
Printed on Printed on
Upto AM PM AM PM
25 Mar 2025 12:38:42 AM 25 Mar 2025 12:38:42 AM
Upto
F32501110/3 24-Mar-2025 JH05CM4528 422.000 F32501110/3 24-Mar-2025 JH05CM4528 422.000
25 Mar 2025 12:38:42 AM 25 Mar 2025 12:38:42 AM
RESULT OF CHECKING IN ROUTE RESULT OF CHECKING IN ROUTE
F32501110/3
Designation 24-Mar-2025
and Head Quaters JH05CM4528
Description Quantity 422.000
of the Dated signature of the F32501110/3 24-Mar-2025 JH05CM4528 422.000
Designation and Head Quaters Description Quantity of the Dated signature of the
of the authority by of mineral Mineral authority mentioned of the authority by of mineral Mineral authority mentioned
25 Mar 2025 12:38:42 AM
whom the transport of the actually in column-1 and place of 25 Mar 2025 12:38:42 AM
whom the transport of the actually in column-1 and place of
mineral was checked. transported checking. mineral was checked. transported checking.
F32501110/3 24-Mar-2025 JH05CM4528 422.000 F32501110/3 24-Mar-2025 JH05CM4528 422.000
25 Mar 2025 12:38:42 AM
Note- (1) Separate form should be used for each consignment 25 Note-
Mar(1)2025
Separate 12:38:42
form should be AM
used for each consignment
(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
F32501110/3
should 24-Mar-2025 JH05CM4528 422.000
accompany the consignment. F32501110/3 24-Mar-2025 JH05CM4528 422.000
should accompany the consignment.
102157393001|F32501110/3|24 Mar 2025 06:35:44 PM|422.000|102157393001|F32501110/3|24 Mar 2025 06:35:44 PM|422.000|102157393001|F32501110/3|24 Mar 2025 06:35:44 PM|422.000|102157393001|F32501110/3|24 Mar 2025 06:35:44 PM|422.000|102157393001|F32501110/3|24 Mar 2025 06:35:44 PM|422.000|102157393001|F325011…
