GOVERNMENT OF MEGHALAYA

APPLICATION FOR DRILLING OF GROUND WATER

Applicant Details

Name of the Applicant in full *

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Detail holding of the Applicant(enclosed land Document) *

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E-mail ID of the Applicant *

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Contact No of the applicant *

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Postal address of the applicant *

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Location and Other Details of the Proposed Borewell

District(w) *

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Village/Town *

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Locality *

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Post Office/ Outpost *

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Police Station *

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Pincode *

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Number of persons residing in the premises *

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Presence of natural spring nearby *

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Purpose for drilling *

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Name of Registered Drilling Agency *

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E-Mail of Registered Drilling Agency *

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Water requirement per day demand *

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Any other information

Declaration

I certify that the information I am about to provided is true and complete to the best of my knowledge. I am aware that this self declaration statement is subject to review and verification and if such information has been falsified I may be terminated from the NoC for Water Abstraction

I Agree *