If you are an existing dealer, please fill up the form and your dealer code will be appear in the list after verification by the competent authority.
If your company name is not apperaing in the list, then contact your concern District Mining Officer.
Application No. : *   Date of Application : *
Name of the Applicant : *   Father's Name : *
E-Mail ID :   Mobile No. : *
Dealer Type :  
Address : *
(Maximum Characters left: 200 )
  Financial Status : *
(Maximum Characters left: 50 )
Mineral(s) Deals with :
Select Mineral



Selected Mineral(s)
*
Profession : *   Select Type : *
Select Purpose :
*
Dealer Required From : *   Dealer Required To : *
Upload Application  * : only .pdf files are allowed
Mining Circle : *   District Mining Office :
*
District : *   Location Name : *
Block Name(s) :
Select Block
*
  Company : *
Police Station :
Post Office :