Back Directorate Of Geology & Mining Uttar Pradesh eForm-c Pass For Transportation & Minor Mineral See Rule-7(III) eForm-C V S R -5(2) 1. eForm-C No. 2. Licensee Id: 31122119990071 3. Name of Licensee: SHIVSHAKTI MINES AND MINERALS PART AMIT KUMAR 4. Mobile Number Of Licensee: 6398343020 5. Destination District : MUZAFFARNAGAR 6. Licensee Details [Address,Village, (Gata/Khand),Area]: LAKSAR AURANGJEBPUR HARIDWAR, MAYAPUR ROPPUR, 67, 2.075 7. Tehsil Of License: BEHAT 8. District Of License: SAHARANPUR 9. QTY Transported in Cubic Meter: 23 10. Name Of Mineral: SAND STONE AN QUARTZITE (25CM*25CM*25CM) 11. Loading From: SAHARANPUR 12. Destination (Delivery Address): 13. Distance(Approx in K.M.): 180 K.M. 14. Traveling Duration : 11 15. eForm-C Generated On: 16. eForm-C Valid Upto: 17. Selling Price: 700 D O R V 1. Registration Number : 2. Type Of Vehicle: 22 TYRE TRUCK 3. Name Of Driver : 4. Mobile Number Of Driver: 5. DL Number Of Driver: 3112211999007100281 MEERUT 27-07-2021 08:39:27 PM 27-07-2021 07:48:27 AM HR38 X 7217 VAHID 8920692625 This eForm-c is valid up to 27-07-2021 07:48:27 AM