SCHEDULE I
FORM A
Mineral Enactment 1999
(Section 21(5))
FOSSICKING LICENCE
Licence No. : F
_____________________
Date of Issue:
_____________________
Date of expiry:
_____________________
Date of cancellation:
_____________________
Name of holder of licence:
_____________________________________
______________________
Address of holder of licence: _______________________________________________
______________________________________________________________________
Description of area: (See attached map)
District: ____________________________
Sub-district: ________________________
Map Sheet No. ______________________
Block designation: ____________________________________________
(RSO) units/quarter units): ____________________________________________
This licence authorises the holder thereof to fossick for all minerals within the area described above from the issuance date to the expiry date of this licence, unless sooner cancelled, subject to the terms and conditions contained in the Mineral Enactment 1999 and to the conditions attached herewith.
Dated ........................................
Fee paid: RM ....................................... Receipt No. : .....................................
(L.S.) _______________________________________
Director of Lands and Surveys
121
FORM B
Mineral Enactment 1999
(Section 28(5))
DULANG LICENCE
Licence No. : D
_______________________
Date of issue:
_______________________
Date of expiry:
_______________________
Date of cancellation:
_______________________
Name of holder of licence:
_______________________________________
___________________________
Address of holder of licence: _____________________________________________________
____________________________________________________________________________
Description of area: (See attached map)
District:
_________________________
Sub-district:
______________________
Map Sheet No:
_____________________
Mineral to pan:
_____________________
This licence authorises the holder thereof to pan for the aforesaid minerals within the area described above from the issuance date to the expiry date of this licence, unless sooner cancelled, subject to the terms and conditions contained in the Mineral Enactment 1999 and to the conditions attached herewith.
Dated ........................................
Fee paid: RM ....................................... Receipt No. : ......................................
(L.S.) ____________________________________
Director of Lands and Surveys
122
FORM C
Mineral Enactment 1999
(Section 35(4))
INDIVIDUAL MINING LICENCE
Licence No. : IML
_________________________
Date of issue:
_________________________
Date of expiry:
_________________________
Date of cancellation:
_________________________
Name of holder of licence:
_________________________________________
_________________________
Address of holder of licence: _____________________________________________________
____________________________________________________________________________
Description of area: (See attached map)
District:
_________________________
Sub-district:
_________________________
Map Sheet No:
_____________________
Gazette Notification No:
____________________________________________________
This licence authorises the holder thereof to mine any mineral deposit other than oil shales or mineral oils within the area described above from the issuance date to the expiry date of this licence, unless sooner cancelled, subject to the terms and conditions contained in the Mineral Enactment 1999 and to the conditions attached herewith.
Dated ........................................
Fee paid: RM ....................................... Receipt No. : ......................................
(L.S. ) ______________________________________________
Director of Lands and Surveys
123
FORM D
Mineral Enactment 1999
(Section 41(7) (a))
PROSPECTING LICENCE
Licence No. : PL
___________________________
Date of issue:
___________________________
Date of expiry:
___________________________
Date of cancellation:
___________________________
Name of holder of licence:
________________________________________
N.R.I.C. No. (if applicable):
___________________________
Address of holder of licence: ___________________________________________________
__________________________________________________________________________
Description of area: (See attached map)
District:
_________________________
Sub-district:
__________________________
Map Sheet No:
_____________________
Block designation:
__________________________________________________
(RSO units/quarter units):
__________________________________________________
__________________________________________________
Initial area :
___________________________
hectares
This licence authorises the holder thereof to prospect for all minerals within the area described above from the issuance date to the expiry date of this licence, unless sooner cancelled, subject to the terms and conditions contained in the Mineral Enactment 1999 and to the conditions attached herewith.
Dated ..................................…...
Fee paid: RM ...….......…....................... Receipt No. : ..........….........................
(L.S.) ______________________________________
Director of Lands and Surveys
124
FORM E
Mineral Enactment 1999
(Section 41(7) (b))
EXPLORATION LICENCE
Licence No. : EL
___________________________
Date of issue:
___________________________
Date of expiry:
___________________________
Date of cancellation:
___________________________
Name of holder of licence:
________________________________________
N.R.I.C. No. (if applicable):
___________________________
Address of holder of licence: ___________________________________________________
__________________________________________________________________________
Description of area: (See attached map)
District:
_________________________
Sub-district:
__________________________
Map Sheet No:
_____________________
Block designation:
__________________________________________________
(RSO units/quarter units):
__________________________________________________
__________________________________________________
Initial area :
___________________________
hectares
This licence authorises the holder thereof to explore for all minerals within the area described above from the issuance date to the expiry date of this licence, unless sooner cancelled, subject to the terms and conditions contained in the Mineral Enactment 1999 and to the conditions attached herewith.
Dated ......................................
Fee paid: RM ...................................... Receipt No.: ......................................
(L.S.) _______________________________________
Director of Lands and Surveys
125
FORM F
Mineral Enactment 1999
(Section 63 (12))
MINING LEASE
File reference:
_________________________________
Lease/Registration No.: ML:
_______________________
Lot No. :
__________________________________
Area:
_________________________________
Town/Village/Mukim:
______________________________________
District:
____________________________________
Date of registration:
____________________________________
Term of lease:
_________________________________________
Date of expiry:
________________________
Annual rent:
________________________
Name of lessee:
____________________________________
N.R.I.C. No. (if applicable) :
___________________________
Address of lessee :
________________________________________________
__________________________________________________________________
__________________________________________________________________
In consideration of the due payment of the annual rent of RM .........................................., the land mentioned above which, for purpose of identification, is shown in the attached plan, is held for the above term by the lessee named in the record of proprietorship overleaf for the mining of minerals subject to the terms and conditions contained in the Mineral Enactment 1999 and any other laws relating to mining and to the conditions attached herewith.
Dated ........................................
(L.S.) _________________________________________
Director of Lands and Surveys
Heading to be printed on all subsequent leaves of this Form
RECORD OF PROPRIETORSHIP OF DEALING
AND OF OTHER MATTERS AFFECTING TITLE
126
FORM G
Mineral Enactment 1999
(Section 81 (10))
PROPRIETARY MINING LICENCE
File reference:
_________________________________
Proprietary Mining Lease/Registration No.: PML:
___________________________
Lot/L.O. No. :
__________________________________
Current title No. :
______________________________
Area:
_________________________________
Town/Village/Mukim:
______________________________________
District:
____________________________________
Date of registration:
____________________________________
Term of lease:
_________________________________________
Date of expiry:
________________________
Annual rent:
________________________
Name of holder of licence:
______________________________________________
N.R.I.C. No. (if applicable) :
___________________________
Address of holder of licence:
___________________________________________
___________________________________________________________________
___________________________________________________________________
In consideration of the due payment of the annual rent of RM ........................................., the land mentioned above which, for purpose of identification, is shown in the attached plan, is held for the above term by the holder of the licence named in the record of proprietorship overleaf for the mining of minerals subject to the terms and conditions contained in the Mineral Enactment 1999 and any other laws relating to mining and to the conditions attached herewith.
Dated ........................................
(L.S.) ___________________________________________
Director of Lands and Surveys
127
FORM H
Mineral Enactment 1999
(Section 100(5))
WATER LICENCE
Licence No. : WL
_____________________________
Date of issue:
_____________________________
Date of expiry:
_____________________________
Date of cancellation:
_____________________________
Name of holder of licence:
________________________________________
N.R.I.C. No. (if applicable)
_______________________________________________
Address of holder of licence:
_______________________________________________
__________________________________________________________________________
Name of operating company:
____________________________________________
Name of river/stream:
_____________________________
Mining lease/proprietory mining licence:
__________________________
District:
__________________________________________________________________
Subject to existing rights in respect of water from the river/stream named above, the Director hereby grants to the holder of the licence named above the right to divert and take and use water from the said river/stream if and when available for the purpose of mining operation subject to the terms and conditions contained in the Mineral Enactment 1999 and to the conditions attached herewith.
Dated ........................................
Fee paid: RM .........................…........... Receipt No. : ......................................
(L.S.) _____________________________________________
Director of Lands and Surveys
128
FORM I
Mineral Enactment 1999
(Section 101(2))
WATER PERMIT
Licence No. :
WP
_____________________________
Date of issue:
_____________________________
Date of expiry:
_____________________________
Date of cancellation:
_____________________________
Name of holder of permit:
________________________________________
N.R.I.C. No. (if applicable) : _____________________________________________________
Address of holder of permit: _____________________________________________________
____________________________________________________________________________
Name of operating company: _____________________________________________________
Name of river/stream: ___________________________
Mining lease/proprietory mining licence: ____________________________________
Mukim and District: ______________________________________________________
Permission is hereby given to the holder of permit named above to take water from the river/stream named above for the purpose of mining operation subject to the terms and conditions contained in the Mining
Enactment 1999 and to the conditions attached herewith.
Dated ........................................
Fee paid: RM ....................................... Receipt No. : ......................................
(L.S.) _____________________________________________
Director of Lands and Surveys
129
FORM J
Mineral Enactment 1999
(Section 185(1))
LICENCE TO REMOVE DREDGING MACHINE
No. Licence No.:
RDL
______________________________
Name of holder of licence:
______________________________
District :
______________________________
Particulars of Dredging Machine :
______________________________
Mining lease to be abandoned/vacated : ______________________________________
Mining lease to be worked:
______________________________________________
Intervening land(s) :
______________________________________________
Period of licence :
from
____________________
to
________________
This licence authorises the holder thereof to remove the above dredging machine through the intervening land(s) subject to the terms and conditions contained in the Mining Enactment 1999 and to the conditions attached herewith.
Dated ........................................
Fee paid: RM ..................................... Receipt No. : ...................................
(L.S.) _________________________________________
Director of Lands and Surveys
130