i4MS Portal

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Appealing Date*

Type of Applicant *

Individual Firm Company

Mobile Number *

Name of the Applicant * Name of the Firm * Name of the Company *

E-Mail *

District Name *

Address * Maximum character should be 500

Certified Copy *

Choose Files Files type (.pdf) with maximum 2MB

Date Of Communication *

Mineral Name *

Mining Circle Name *

District Name *

Block Name *

Village Name *

Sl#	District Name	Block Name	Village Name	Action
No Record to Show

Name of the Party/Parties #*

Address of the Party/Parties * Maximum character should be 500

Reason #* Maximum character should be 500

Additional Copy *

Choose Files Files type (.pdf)with maximum 2MB

Is any Demand Assessement ? *

Yes No

Has the applicant deposite the amount ? *

Yes No

Bank Name *

Challan Date *

Challan Number *

Challan Amount*

Challan Receipt *

Choose Files Files type (.pdf) with maximum 2MB

If any application signed by Authorized person

Power of Attorny *

Choose Files Files type (.pdf) with maximum 2MB

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