(1) The notice of an accident required to be given under section 8 of the Act shall be given within a period of twenty four hours of the accident by telephone, telegram, E-mail, fax or in any other electronic mode or by special messenger followed by a written repon signed by the occupier or authorized agent giving particulars of the circumstances leading to the accident, loss of human life, injury to persons, damage to property, emergency action taken etc, to the —
(a) Chief Controller;
(b) Controller in whose jurisdiction accident has taken place;
(0) District Magistrate; and
(d) Officer-in—charge of the nearest police station.
(2) Pending the Visit of the Chief Controller, or his authorized representative or instruction received from the Chief Controller or his representative that he does not wish any further investigation or inquiry to be made, all wreckage and debris shall be left untouched except in so far as its removal may be necessary for the rescue of THE GAZETTE, ()l" INDIA : EX'i'RAORDlNARY [111111 11 «««««S151:. 3(1)} 128 ritingg. his observations, discrepancies 01° the violations, if any, of the rules or contravention of conditions of the licence; and a copy of the inspection report shall be endorsed to the licensing authority for taking further necessary action.
SCHEDULE 1 LICENCES AND LICENSING AUTHORITY (See rule 28) l 7 , :v' 7 fl . l i4 o rm Serial . . . . .
Purpose for which granted of L1censmg Authorlty Number . ' Licence 1 Licence to manufacture and possess [’4 Chief Controller 01' for sale Ammoniuni Nitrate or Controller authorised conveit melt to SOlld and mm ve1 sa by Chief Controller and possess tor sale of Ammomum Nitrate 11 1, 2 Licence to stevedore, bag and store 13—2 Chicf’Controller Ammonium Nitrate 3 (21) Licence to Possess for sale or use 13—3 District Authority of Ammonium Nitrate from a store house not exceeding 30MT; 01' I W? b) Licence to Possess for sale or use 1)-}; Chief Controller 01‘ of Ammonium Nitrater from a store C untrollei‘ authorised house exceeding 30M1, 01 by Chief Centroller
(c)i1.1‘11:11132113115111711‘1‘514111501 1’13 l “Chief 1:111:11‘111111131 or AJ'i’lITlOlllUlll l‘iitwte {Iron} a store 13011111731113? authorised housenanael‘1edlt1: e>1p1os1ves by Ch1€111 Contro 1 ler manutacturmg/l\11t1'ous Ox1de manufacturing unit; or
(11) Licence to possess for use i343; District Authority or Ammonium Nitrate for agricultural purpose from a storehouse. I Officer authorised by DistrietAuthority [111111—1103 31111- W W WW = WW _ __ -129 4 (21-)LiicTenceto transport Ammonium 13-4 Distri‘gt Authority or Nitrate for licences granted by _,,_Office-r authorised by District Authority for posSeSsion for District Authority Sale or possession for use; or
(b)L1cence totranSport Ammomum _ ChiefController [01' N1trate for Licences granted by the : 'ICOntl'Oller ‘ ChiefController01 Controller for A possess1on for SaleOr possession for _use._, - - , 5 ('21)LicencetoImport Ammonium ' P-5 1‘ Chief Controller ‘ Nitrate; or
(b) Licenee to Export Ammonium N1trate L
SCHEDULE 11
PART —1 Application Forms - (See rule 33 ofAmmonium Nitrate Rules, 2012) Form Purpose N0.
A-1 Application for Licence to manufacture and possess for sale Ammonium Nitrate or convert melt tosolid and Vice versa and posSessfor sale of 1 Ammonium Nitrate A—Z Application for Licence to stevedore, bag and store Ammonium Nitrate A-3 Application for
(a) Licence to Possess for sale or use of Ammonium Nitrate from a store house not exceeding 30MT; or ( b) Licence to Possess for sale or use of Ammonium Nitrate from a store heuse exceeding 30?1 ;‘or
(c) Licence to Possess for use of Ammonium Nitrate from a store house attached to explosives manufacturing/Nitrous Oxide manufacturing unit; or
(d) Licence to possess for use Ammonium Nitrate for agricultural purpose V from astorehotge.
2545 GI/2012—17 THE GAZETTE: OF iNDlA : EXTRAORDINARY [PART iI—SEC. 3(1)] A~4 Application for licence to 112111513011 Ammonium Nitrate A-S ' Application for licence to
(a) Import Ammonium Nitrate; 01' ‘ “(15) Export Ammonium Nitrate P2111; _—2 , Licence Forms ., __ _ ‘ (See rule 35 0fAm1n011ium N1trate Rules,2012) i Form Purpose N0. , , _ , ~P~1 LicenCe to manufacture and posseés‘1‘61 sale Ammonium Nitrate or convert melt to solid and vice versa and possess 1°01sale of , Ammonium Nitrate -- ~ 1 ‘ L _‘ P-2 Licence to stevedore, baiahd store AmmoniumNltrate
13.3 (21) Licence to Possess for sale or use of Ammonium Nitrate ‘ from’a store house not exceeding 30MT;01 ( b) Licence to Possess for sale or use Of- Ammonium Nitrate from a store house exceeding 30MT; 01
(c) Licence to Possess for use ofAmmonium Nitrate from a store house attached to explosives manufacturing/N’itrous Oxide manufacturing unit;
01' .
(d) Licence to possess for use Ammonium Nitrate for ‘ aincultureLpurpose from a storehouse.
P—4 Licence to transport Ammonium Nitrate P—S (a) Licence to Import Ammonium Nitrate; 01 , (b) Licence to Exam Ammonium Nitrate.
[m,11n1§ves(i)1 4 31121111116111 3111191111 131 Part—3 Return Farms (See rules 14 18, 20, 21 27 and 36 ofAmmoniumNitrate Rules,2012) Form ‘ ,Purpose 4N041 4 4 R-1 Apphcat1011forrenewalofhcence L R— 7Pass issued by the COnsignor for transport of Consignment 0f ' R-2' ' Form of Account to 11%: mamtamed by Lieehceholder—Account _ 4444 CfAmmoniumNltratemanufactured converted - ‘ R43 "Declaratlon to be subm1tted t0 the ChiefCohtroiler by an 1mp01te1 011 despatch CfAmmonium Nit1ate fr-Om the place or ' T p011Ofloadmg - 44 - w -- - 7’ R—4‘ j Importers despatchschedule- __ _ * * - - R55 Form ofAccount to be malntainedbyStevedore—AccountCf 4 ‘- _ - AmmomumN1trate stevedored bagged and dispatched 4 R—6 FormOfreCOrdsto bemaintained by a Transport Licence HClder _ ReCords 0fAmmomum Nitrate Or Melt transportedby vehicle. 4 R-7 Form Of ACCOunt to be maintainedby Licence holder 4 Account :
- _ ; ofsale ofAmmonium Nitrate444 - 4 ' R—8 __ Form of ACCOunt to be maintained by Licence holder ~Accouht _ i I ofuse ofAmmonlum Nitrate/ f - 4 _ , __ - .1;
,R—9 Monthly Returns ofAmmonium Nitrate 4 44 1' RI0 F01111 ofIndent for Ammonium N1trate R— Form of intimation to be given by the COnsignor to the District _ 1_(4a)1 Supermtendent of Police before d14)ateh of consignment.
41 1(b) Ammoniumjflitrate 1111-14 " Certlficates (Seerules 18 and 34 ofAmmonium Nitrate Rules, 2012) FF‘CIim Purpose NC , , 4 4 .
C—l ICClara-tioln‘ to be made by the master of a ship canylng Ammonium Nitrate before entering4a port 01 by the ship's agent 192 Fo41mat 0i1410 Objection Certificate 132 4 4 THE GAZETT44E4(44)F411113111,; EXTRAORDINARY 14111111 114—7551: 3(1);
(See Part-l 0f SCh 1C11and rules 33 35 and 37 0fAmmoniumNitlate Rules, 2012) Application for Licence to manufacture and possess fCr sale Ammonium Nitrate 01 00141va melt tC sClid and ViceV 2114111possessfor Sale ofAmmomum Nitrate 4 __- -_ - ~L'apC1yfCrapproval()1grantoramendmentoflicencefC41the followmg purpose _ ‘- -_ - \ - _ Purpose 7 ‘ 1 1 require 11cence111thC followmgname 211111 postaladdress
(a) Name in Which hcence isrequlred tobegranted(see notes _ beloW) ....... _ ._ , 4
(b) Status _ 4 _ _ (C)Age ‘ - ~ ‘
(d)PCst4-a1add1ess ‘ 1‘ I .......Clty ...... 2.-§-.-....DIStI‘1Ct.....‘....:...‘..1.3.1 ..... L ........ L ‘ StatC.. .......... 4 ............Pin CCde....-....‘....... 4..__._..'....P01ice Stat1011....\..._.4.-.;..;--. ...... ‘1 Railway - Station ” ‘01 SftCamer ‘ Ghat.._.....‘.4........; .....Phone...... 4 7‘ Email......... ‘..............Fax”............_ ....... -. ‘1
2. The; proposed premises are situated at: the! following address:
o:u-----¢.o‘.uuuoo-ua-uuuuuuuo-nnu.oa-o-u-u-v-uaooaoo- ------------------------------ Survey number ......................City __ ’ .......... ....
District ................................. State ........................ Pin 1 code ........................ L 4 Police Station ..................... Railway Station 01; Steamer Ghat-......................Phone ........................... 1 ...... Email ............ .
.......Fax ............
[11m II—Iérvg 3(1)] 111m 361 116151 3111111111 133
3.Qua11fications andexperience of applicant .......................... and the technical personnel employed by him. .............................., .
4. Quantity ofAmmonium Nitrate proposed to be manufactured, convertedperday..............-....,....;....... I 21) Annual capacity (11 the manufacturing, conversion p1a11t__ :b) Date of commencement of manufactunng (ferex1st111g __ ‘manufactureisQn1y1 _ _ _ ‘_ C1Quant1tyQfAmmom N1tratepresentat any o11etime S 1' I storehouse 1'1. ..... each[s_11ed0fthe 1 _ ConVersiQn plant...........................
d) Total Quannty Qf Ammomum Nitrate proposed to be stored at any Qnetime ......................
' e) Details Of amendmentperosedor additiQnal " information, ifany ........................... - ‘
5. Has the applicant been convicted under any offe‘nee 01‘ Ordered to execute bond under Chapter VIII of Code of'Criminal Procedure, 1973(2 of 1974) during the last 10 years. Yes....NQ......
If yes, please give details. ...............................................
6; (a) particulars of other licences under Ammonium Nitrate Rules, 2012if any held by the applicant during the last 10years
(b) Was any 11cence cancelled ’01 not 1e11‘ew6d?
. “i.f.r.;‘.9.-Yes*;-:-.-.:.......:.No..~.. * _ - ‘ (C) IfyeS, giVe detailS .................. ;-...; ...... " 7-; ~ PartiCulars of amendment pioposed/Add ional infori11ation 11 any .....................................................
[34‘ IHE GAZEITE OF INDIA: EXTRAORDINARY 1 [PARI Il~~SLc 31(1)] Ihereby certify that the above particulars giVenbVme are (2011ect.
D,at‘e....... Signature of applicant ....... 1. . . ....... 1.1 ’ (Authorised person in case ofaCompany) FullNarne._ - Address ..... -_ __ Change1111the 21b(15V1e111f01mat10n shouldbeImmedlately ‘ __ commumcated to theChief Controller ofExploswes District 1 Author1ty2111d authonty renewingthe llcence _ 1 " -
(4) Agetobe given in case the applic2111t113 an individual
(5) (21)Ammon1um Nitrate storehouse shall mamtam
(1)for stOrage 11(5t exceeding 30 MT, SafetyDlstance10f 4.5 , metres frOm store hense t0 the compoundW21121nd 45metres from any protected works; ~
(11)?for storage exceedmg30 MT, Safety Dlstance 0f 9metres 0111 store mum tothe compound wall211121 90 metresfr<511122V protected work‘s - ' ~ -
(b)xthe1\ storehouse maV be adjacent1 he-bagglng11bit0fthe _1 1 _ _ r manufacturing pléfits,butShall observe the proV1310nsof1clauSe, 1 4(3) (1i) and (ii) of Ruiel2 1 _ Statutory. 1W‘a1rning: Misuse of Ammonium Nitrate Shall constitute serious criminal offence under the law.
____————————————————————— manufacturmg,- conversmn 501 exploswes/mtrous1' ,0X___é‘ ,1 '1 [111111—4303 3(1)] 135 (See 1Pa1t—I (21f;Schedule II and 1ules 33 13521nd 37 0fAmmonium Nitrate Rules, 2012) Application for licence to stevedore, bag andstoreAmmonium Nxtrazte _ .'-_ _ _- -- - _ :
I,........- . . -. . ..1, ......11 . . . ......, ...... 011 behalf (11f......., .*...21pp1yI101 approval01graht0111 amendment 10flicence for the followmg purpose ‘ _
(b) Status....... ........... ..... __ (C) AgC .. . ...... .
(d) Postal address - 1* ...................................r...y..1..i...........y.........i.......,.... .......
.....-..-..........................1...a.........................’..’.........-.r_,... .......
:‘. ...... City};........- .,....DiSt1rict..1...... ....... 1 ........ , - ,_State......1., .......... _......Pi11‘_ _ code............,....1..._.1 .....Police Station....1 ...... ......, _ Railway . Station 01 , Steamer Ghat......... _..._....1.......Phone,.......;.,...;Email .........Fax ...........................
2.The p10posedbaggmg'1 1 31363 is Situated atjthe folloWihgaddress --....;.......,...............,;....;.........-t-.{J.a..........1...J..,a , Survey 1 number .....Clty ..............District.......................Statc...............Pin , code ........................ Police Station ..................... RailWay Stati0n ..............._ ............................ Port of import ............. Phone............_Emaii..............Fax.........
.............................................................
I36 1 THE GAZETTEOF INDIA: EXTRAORDINARY [PART II—SEC 3(1)]
4. Qualifications and experience of applicant and the technical personnel employed by him. ......................
5. Baggingcapaeity ofAmmonium ............................
a)-‘A11n1131 bagging capacity ..........................
b) Quantity ofAmmonium Nitrate present at any one time in each bagging go down , Andattached storehouée (if any) ..... ........................ _ c) TotalQuantity 1of AmmoniumNitrate proposed to be stOred at any time bothinbulkand bagged conditlon; - d) Details of1 amendment proposed 01 additional ' informatiOn, ifany ................ ‘ 11 6, Has the applicant been convicted under any offence or ordered to execute bond under Chapter VIII of Code ofCriminal Procedure, 1973(2 of 1974) during the last 10 years. Yes... .No ...... 1 If yes please give details. ..................................1 ......
7 (a) particulars of other licences under Ammonium Nitrate Rules, 2012, if any held by the applicant during the last 10 years
(b) was any licence cancelled or not renewed? Yes ......... No.... ..
(c) Ifyes, give details ................................
8. Particulars of amendment proposed/ Additional information if any..1..- oooooo a.‘.......... 1...’ ......1.1....‘uarnu1pu......61........................
ac.oon-oo-ooounncoto-nu‘ooooo_riooo-oo 000000 I hereby certify that the aboye particulars given by me are correct.
Date ..................... Signature of applicant ........ ; .........
(Authorised person in case of a Company) Full Name ................................
Address ................................
Notes: ' Please see the rule for the purpose and documents to be enclosed
(1) In case where application is made by a person other than an individual, the names and addresses of the occupier as per rule 2 and 4 :
1 9 0 b ‘ t / 2 0 1 2 ‘ 4 1 8 [m 11mm 3(1)] W am Wm: WM 137 directors or partners or members, as the case may be and specimen signatures of authorised person to be attached
(2) Passport size photographs of the occupier to be attached.
(3) Any change in the above information should be immediately communicated to the District Authority and authority renewing the licence.
(4) Age to be given in case the applicant is an individual
(5)(a) Ammonium Nitratestorehouse shall mamtam
(1) £01 stOrage notexceedmg33MTSafet,1 D1stance0f 45 met1es fromstore heuse to the compound Walland45 met1es from any protected werks;
(ii) for storage exceeding 30 MT, Safety Distance off9 metres from stdre house to the eampound wall and 90 metres from any protected works; ' StatutorWamm° M1suse 0f Ammonium Nitrate shall constitute seriaus crimina! offence under the law ---------------------------- Form A-3 (See Part-l of Schedule II and rules 33, 35 and 37 0fAmmonium Nitrate Rules; 2012) Application for grant/amendm:ent 0f:
(:1) Licence to Possess for sale or use of Ammonium Nitrate from a store house not exceeding 30MT; or ( b) Licence to Possess for sale or use of Ammonium Nitrate from a store house exceeding 3OMT; or
(c) Licence to Possess for use of Ammonium Nitrate from a store house attached to explosives manufacturing/Nitrous Oxide manufacturing unit; or
(d) Licence to possess for use Ammonium Nitrate for agricultural purpose from a storehouse.
I, ...............V ....................... on behalf of................... apply for approval or grant or amendment of licence for the following purpose.
1. Purpose:
2. I require licence in the following name and postal address:
338 THE GAZETTE OF FNMA : EXTRAORDINARY _ [PART [378%. 36}!
(3} 35111111: in which 11313111111 131113111113 1.0 he granted (see hates 3113311121) ........................
1:11} 81111111; 111111111111111111111111111111111 ,( u (111..) Ag: ..................................
1:131; 33113151213111.3131e33;
nuwuaanancavin' aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa ..........................................................................................
..... C1331 ...... L .......District...........gg ........State...
..........F111 - ‘_ ‘ code....*..L....-‘_...............P11hce
13138331033..... .......... 1 1111/1 S3 £3011 ,1" Sfeamer
11.331111........ .......3331131111? ..... ..... l. .....Email..;.Ԥ..{.:..'...........F
1111. ........... V‘.............
”*3 3he 11111111151313 pzemises 111““ 5111132131313 213 the 30310111ng address:
(uaaqauusooafisue .......................................................................
....................................................................................
31111113}! 1111mher . . ........................Ci-ty ..............
331351113153” ......... ....................... 33311313. . . ..................... Pin 1,5136 .........
3311331313 8111331111. .‘ ................... 3331137 1133133 ...................
* 333111113 ................................. 3” 1111133 ......... .........Fax ..............................
3’ Statien 01* Steamer 4 {31.111313113110118 E1111 ecpeflenee 111 applicant and the teehnicai personnel
1.311111113112113 by him................................
5. A11111’11011311111Nitra’1e131*flpssed 11) he possessed and sold?“
(1) {211211133131 Of Ammonium 351112136 proposed to be posses-Sed at 5111)! 011e time ....................
(ii) Quantéty 03‘ [43.111111911311111 Nitrate prepesed ‘11) be sold in one 1111111131
6. (3.) A1111n11111u111 353111111: 1310111351313 31) be pessessed and used* —
(3) State 1311: purpose of Ammonium Nitrate usage ...........................................
....................
333mm_m 3(1)] 33113 851W- 331mm _ [30 3331331333 ..........
(iv) Quantity 133‘ 33333331131131.1133 Nimaie: 1311313135333 313 5-35) 1303131333613 3133 3356 at any0336 3313313 ...........
Emails of 3333 233113 1335331333133 1335139 111/331311133330 A35 331/311 3363 3331313 330333 the stmage 33313311113133 13363313913313133 3313113. .3 ......... ..............
_ (b);
7 3335; the applicant 336833 1313113/3133313 331.11.31.33 any 0531311953 01 133139111113 , / 1331621336 33133113 1333131311 (3331333133 V333 13f (301313 13ff31133113113 33101363131111...
3 f39’743) 13331131133313 33:53 1533/633113 Yasu. .NO...;.. , 111111111give 133381135 ......L: ......................... _ 3 "H 3/38 w
8. (23) 33333191332333 of 0333131 311363313133- 13.131363 [3.1111111311111111 Nitmte 33133139.
2012 if amy 3113313 by the 33313113931313.1333135933336 1&93. 103131313.
(33) 33313133113111.5115 13f 33133311313/3 1333er 331333133376.9 331116328013, iii" any 51631 by 33313 33333331021113 durmg 35111:: 1333 30 3/3338 le'nu5nIntamtniI-clvaEacodalv'aibnuin ...................................................
{13) was any 3-3-9333C6 0333133331313 131‘ 3103 13wr*31‘ ...... Yes............N13..;... “
(121) 33 3563, give 1331133335 ...... ..........................
9. Fartmuiarg 0f 3.331161313336333 p113p1331*1:3/ 13131333313333 113f133‘1131331133 i1 aflynwa11unune1.11....».11.,”1111 13111....11111..M-M 111111111»g.»11.111.11.11
11.......1.”...MHH.1...H1.1.1.5.”.111151 1 I hereby certify that 3:131 2333mm 1131331113311 g3ve-33.33y 31136 21313131333693.
Dam...................... f. ..... .. . *5 3313113 0f 21333333623313..................
1 (1313.1113135613 1363331311 in 1321.813 of a €13113333111y) ‘:F1333 N813313© .......................... . .....
[1311313313313”1.................................
e33333333333353: 35333333133133 3 1333 3 Notcs: * « , P1611313 sea the mic for the 131311313116 11.33331313€1313161335 E13 5336 131303031313
(1) 333 case Where app3i13a3ion 15; 31313 333/ 31 1313355033 other than 13.33 51*,4 3 5 5 individual the mamas and 5313133113313. 133’ 33113 1313131333361" 1115 31 333136 2; 211113 140 THE GAZETTE OF INDIA : EXTRAORDINARY [PART lIv—SEC. 3(1)] directors or pafiners 01’ members, as the case may bea and specimen signatures of authorised person to be attached.
(2) Passport size photographs of the occupier to be attached.
{3) Any change in the above information should be immediately eommunieated to the Licence Issuing authority and authority renewing the licence.
(4) A11 to be giveri in case, the applicant is an individual.
(5) (a) Ammonium Nitrate storehouse shall maintain;
(DiorStorage 1101; eXCeeding 30MT Safety D1stance 0f45 metres from store house to the compeund walland 45 metiesfmm any .
11rotected Works;
(ii) for st01age exceeding 30 MT Safety Distance of 9 metres from store house to the compound wali and 90 metres from any protected works;
(b) the storehouse may be adjacent to the expiosives/nitrous oxide manufacturing plants) but shah obse:ve the provisions of clause 4(a) (i) and (ii) of Rule. 12 Stattgtorg Warning: Misuse 01‘ 1511111111011in Nitrate shah eeesfi-it‘ete serious criminal offence under the law. :
'mamnnma‘vu5—mm sr_«mcwwwl-um‘ FORM A~4 _ (See Part—l of Schedule H afid rules 33, 35 and 37 ofAmmonium; Nitrate Rules, 2012) 1 Applie111111111 for grant/amendment (13':hceneeto 11311111911 Ammenm111 NItrate L .011 behalf of ....... apply for1grant ofa licenee/amendment of licence 1‘411...._....t0 transport Ammoni m Nitrate. The particulars are given below and other documents are ehclosed asreqtiired.
Replies:11 be given in this column N21111e of the applicant (see note below)
2. Applicanfs gmstal address ...............
Pin Code No. ; ,...............
[WT II—onvrs’ 30)] mm m mm : aqwmm 141 Telephone No. .............................
Telex .............................
3. Pm’ticulars 0f licence granted under Ammonium Nitrate Rules 2012 held by the .apphcant' from W133” £11613“ possegsion and salie/use Ammomum Nltrate - Wlll be ~ transported. licence :10 “ ‘ Situation dfpr‘e‘mises .....
Licensed capacity ............................
Date upto which the licence is valid .............................
Particulars of place/s to Which the
4. Ammonium Nitrate will be ..........................
tramspQrte-d ’5‘ ierof tr‘anspnfi:
........................................
6. (a) Has the applicant been convicted u-‘hder any offence or ordersd to execute bond under Chapter VIII Of Code of Criminal Procedure 1973(201‘] 974) during 1m: 1611 years?
(b) Ifyes please giva details .............................
7.(a) Particulars of other licences under Explosives Act 1884 if any held by the applicant during last ten """""""""""""""" years
(b) Was any licance cancelled/not renewed?
Yes No [42 'T AZETTI; 0F INDLA : EXTRAORDINARY [pm HHSEC, 30)] (‘0)If'yes give‘det‘aiiils ‘ .-............... .......
8. Particulars of am,._ ‘ Additional information ifany I heieby certify that the above particulars giyen by me-areef 9.
.............................
Date, ...... -.....‘ i Notes .
PIease see the rulefor the purpose and documentsto be enclosed
(1) In Case where applicatiOn is made by a person other than an individual, the names and addresses of the occupier as perrule 2 and directors or partners or members, as the case may be and specimen Signatmes ofauthorised person to be attached.
(2) Passport size photographs of the occupier to be attached. .
(3) Any change in the above information should be immediately ‘ - communieated t0 the licensing authority and. authority renewing the
1iCenee.
(‘4) Age to be given in case the applicant is an individual.
(5) Copy of license form P1, P2, P3 01' P5 FormA5 _ ' (See Part— I of Schedule II and rules 33and 35 ofAmmonium Nitrate Rules 2012) Applieaflhn for grant of heehee th (éa) Import Ammonium Nitmate; :02?
(b) Export Ammemum Nitrate I, .........................................on behalf of...................4;)
grant of licence for the following purpose.
{w11—eve3(i)] ~11 _ _ _ WWW: 1111181111 143‘ I PurpbseImport Orprort .................................................................................
2. Name:Irequ1re licence1n the fOIIOWing name and postaladdress:
(a), Name-111___Wh1ch licence13 required to be granted (see notes below) 1:“ i ......“1a....L*....‘......._........r...“..1.....a... ..............
*.._,........;\....~..-........~,..
I ate...... ....... P111 code...L.L ......PchceStatleh..._......._ .........
Railway 811111011 ”01 L Steamer Ghat.......... Phone......., .....
1 Email ...........-;..Fax...... - ....... - L3(a) _ V _ _ (1)601 Import) Quantity 0f Ammomum N111ate proposed to be i imported at a time ........................
i (ii) Name and address 0f the manufaethrer and 01 country of importer 0f Ammonium Nitrate tobe imperted.................................
E L (iii) Particulars of the storehouse Where Ammonium Nitrate will be stored after import:
1 (iv) Port 01 place of1mp01t ................................
g (v) Whether import of Ammonium Nitrate is in bulk 01 bagged ferm.
(Vi) Partlculars 0f Stevedorlng agent glvmg his name adchessed and _ L L licence NO...L..... .......
1 ‘ 3(b)(f01Export) __ L _ L_ - _ _ ,:y
(1) Quantity 10f Ammonium Nitrate to L be , exported {11) Name and address of Consignee 01‘ country of Export ..............................
................................
4. Has the applicant been convicted under any offence or ordered to execute bond under Chapter VIII of Code of Criminal Procedure, 1973(20f1974) during the last 10 years. Yes....No ......
If yes. Dtease give details. ...............................................
[(14 THE GAZETTE OF INDIA; EXTRAORDINARY [1711111 iI—Sic. 3(1);
5. (a) Particulars of other licenses 111111111 Explosives Act, 1884 if ahy ' held»: by ...............................the applicant during the last 10 years. .
(b) was any licence cancelled 01 not renewed? ...... Yes .........N0 ......
(c) Ifyes, give details ................................
6. 21) Has applicant imported or exported Ammonium Nitrate 111-the past Yes ............ N0....... ‘ ~ b) Ifyes detatisthe1eof £01 last three years.. ..‘ . . . . -. , ._-;-.
Pa111culd1sof amendment proposed/Add1t1m1al inf L I he1eby certify that the above 1131111111315 given by meiare 90113111.
Date ..................... Signature of applicant ..................
(Auth01ised person 111 case of a Company) F1111 Name ...............................
Address ................................
N01125:
Please see the rule for the purpose and documents to be enclosed
(1) In case Where application is made by a person other than an individual, the names and addresses of the occupier as per rule 2 and directors _01 partners or members, as the case may be, and specimen signaturesLLefauthorised pe1son to be attached
(2) PaSspo1t size photographs ofthe oeeupierto be attached.
(3) Any change in the ame mformatitm should be ImmedIateiy cemmunicated to the Licence Issuing authority and autherity ren‘ewing‘the licence.
(4) Age to be given in case the applicant is an individual.
1; Mésuse 01' Ammamum 1111:1311 5113121 111-«1111111119 serioug criminai offence under the MM [1m 11mm 3(1)] , W mum: :mafwt , 145 LICENCE FORM P-1 ‘* - , (See, Sr. No. 1 of Schedule I and-rule 35 Photograph V . . , 'o’fth ‘I‘ ofAmmomum Nltrate Rules, 2012) holdiffnce L occfi‘pjé‘r'th ' ,, Licence to manufaCture and posseSs 101 52116Ammomum Nitrate or. “L_3Lignatu'Le ,LcOnvert melt toSolid and V1ce Versa Land pQSS SS:_f01Saleof '- L - f‘AmmomumN1trat ‘ 1L1cence1SherLeby granted to:
Name......_ ............~ ............ L ...............' ..... _.....
PostalAddress..... ........... ....... ..... .....
....................................... C1ty....-..........D1strlct..........r.'.-......
..State.................. ». . . . .Pincode. ........ _ :
Police Station ..................... Railway Station or Steamer LGhat...,.-....' ......... L _ L _, L Phone .....‘ ' ...... ................. Email .......................Fax .........
2.Status oflicence holder:
3. LicencelS valid for thefollowmg p1lrste: ......................., L. ....... y ' L4LibenceL1Svahdfor _f0110w111g quanuty ofL Amthonifim Nitrate
(21) Quantity of Ammonium Nitrate at any one time
(1)) Quantity 0fAn1mor11um Nitrate peryear...................
5. The Licensed premises shall conformto the following drawing(s):
Drawing No. .............................. dated ........ _ .............
6. The Licensed premises are Situated at following address:
........................................................................................
2545 GI/2012~19 [4611;11 GAZL‘H‘E O1 INDIA:15'X|"RAORD1NA1{'Y[P\I1’111 811 1(1)] ..... Survey N0 City........... District ........................ State...............__.._....-...Pin code............P01ice Station...................... Railway Station or Steamer Ghat.................. Phone ............ Email ............ Fax .........
7.T11€3 piemises consist of following facilities:
(i) Manufacture/ Conversion facilities __ (11) No. 0fst01eh0uses........._ ....... ‘ _ L (111) No ofmelt 5101age tanks _ *i-Stiike Out WthheVCIis hot applicable L __ _ . 8. {1he 1veenceISg1a11ted subject tothep10V1510nof ExploswesAct1884 L as amended 1‘me time to time and the Ammomum Nitrate RulesL L 2012 framed there undel and the cohditions additional cenditions anLd ah11exu1e.
(1)1)1awings (showing site, constructional and other details) as stated in seiial n0. 5 above.
(2) ConditiOns and Additional Conditions of this licence signed by L the Chief Contiollei of Explosives.
9. This licenee shall remain valid till 315‘ day of March ..........
_ _ This licence is liable to be suspended or revoked for any Violation .
01" the Explosives Act 1884 or Ammonium Nitrate Rules, 2012 framed there under or the conditions of this licence, if the authorized premises are 1101 found conforming to the description shown in the plans and annexure attached hereto.
Dated the ........................... 20.... Signature, Designation and seal [1311:1121- Cofitmfler or Camron-er LLof Explosives] SPACE FOR ENDORSEMENT 0F RENEWALS Statutmj21mm' Misuse of Ammonium Nitrate shall eonstittifite sermm eriifiinal offence under the law. ..............................
€®N131T10NS
1. The manufacture or conVersion of Ammonium Nitrate shall be done from the plant shown in approved plan attached with licence.
[11111 IIVL—m 3(1)] 11111 351 W. 3111111111111 147
2. The possessmn or stofa'ge 0f Ammonium Nitrate shall be derie111the licensed storehouse or melt storage tank shownin the appiovett plan attached with the licence.
3. The quantity Of Ammonium Nitrate in the premises or any pent thereof shall not eXCeed at any one time the quantity forwhich licenCe has beenissued. _ _ . _ _;, -
4.L‘_'LSplll€d or sweepiLL siofAmmonium iatethewasteAmmsnlum ‘ N1trate collected omLsteeping 01'spilledshallbedestroyedby the , _ employedLin 01about the manufacture converSiOn premisesshall take all due pteeautions for 1 the prevention of acCidents by fire 01explosion in the manufacture conve13ion premises and for pieVenting unauthorised person from having access to the manufacture ,conversion piemises 01“ 11:1 the Ammonium Nitrate theiein and shall abstain from any act Whatsoever which tends to canse fire or explosion and1S not reasonably necessary for the purposes of Workin the manufacturing c0nversion premises.
6. No additions and alterations shall be carried out in the licensed premises without a previous sanction in writing of the Licence issuing authority.
7. The licence holder shall appoint a competent person to supervise the manufacturing, conversion process and the operations shall be conducted under thesupervision of the competent person.
8. Free aCeess t0 the licensed piemises shall be given at all reasonable ' times to any inSpecting Officer and all faCilities shall be offered to the officer for ascertaining that the provisions of the Act and Rules and L the safety conditions are duly observed.
9. 1f the Licence Issuing authority or the inspecting officer informs in writing, the holder of the licence to execute any repairs or to make any additions or alterations to the licensed premises or carry out recommendations, which are in the opinion of such authority may pose unacceptable risk and therefore the same is necessary for the safety or security of the premises or persons, the holder of the licence 148 THE GAZETTE OF INDIA: EXTRAORDINARY [PARTII—SEC.3(1)] shall execute the recommendations and report compIiancew1th111 the period specified by such authonty 10 Accidents by fire 01 explosiOn and losses, shortage ortheft of Ammonium Nitrate shall be immediately reported to thenearest police stationthe D1strlct Autgj ;’__'_’ity and Chief Controller 01 Controller 11 Ammomum Nitrateshallbestoredin attached Istorehouse(s):du1yi 3' lpossessedshall not eXceed the11m1tpresc11bed1n theI1cence ,_ I3Lieence holder engaged 111 manufacture or convefs‘ionand - ‘ possession fo1 sale ofAmmonlum N1trateshallmaintain records1n thep1escribedforms spemfiedin Schedule II P211: 3 andshall produce such records 011demand toauthority spemfied111Rule49.
15.1111: Iicefice holde1 shalIsubmit monthly returns 0f Ammonium Nitrate manufactured or converted,1eceived,sold and destroyed in the Form prescribed in Form R—90f Part 3 ofSCheduIe II so as to reach Licensing Au‘thority‘and District Authority Within 10th'day‘0f 'every‘isuc‘ceeding month.
Dated the ........................... 20“,, Signature, ' Designation andseal _ [Chief 'Contrtfller or Controller of ‘ EXpIQSiVeS] ' [WIT iI—«W 30)] “TR? 377 11W 2 mm 149 1 LICENCE‘F‘OERM 1x2“ 1 (See Sr. No. 2 of Schedule I and rule 35 E of Aminonium Nitrate Rules, 2012) photograph '* of the licence ”Licence to stevéfinreilmg‘ and ‘Stflre AmmuniumN’itrate Qfiififjfiei'with ‘, Licence No ........................... , ............ _ _ signamre \AnnualFeesRs ..... .......... ‘ ” " * 1~=~:'Lfii'ééfl¢¢ Isherebygranted t9= f _ , f ,_ POSt-al Address: ............................................................
E; ............ City ....... * .......District ..................... State ..................
3 ......‘Pincode ......... Police Station ..................... Railway Station or j S'te'aan‘er Ghat .................. Phone. . . . . . . . . ; ........... E- E mail .......................Fax ..............................
‘ 2. Status of licence holder: ..........................................
3. Licence is valid for the following purpose: Stevedoring, bagging in‘v‘OlV‘ing‘ unloading Ammonium Nitrate from ship, transport to his 1 ‘liCensed storehouse for storing and bagging. ‘ 4 Licence is valid for the stevedoring, bagging 0f followmg quanfiLy 0fAmmonium Nitrate:
~(a)Quantity 0f Ammonium Nitrate at any one time .......................
(b)Quantity 0fAmmonium Nitrate per menth ............. _ ...........
5. The authorised premises shall conform to the following drawing(s):
Drawing No. .............................. dated .....................
150 THE GAZETTE OF INDIA ; EXTRAORDINARY [PART II~~SECE 3(i)]
6. The licensed premises are situated at fOHOWing address:
Survey No ....... City ......... District ...........................
State .................. Pin code ................... Police Station ..................... Railway Station . . . . . .Port of import.............Ph0ne ....... ,.._ ...... Emai1.,..., ....... Fax........_....
7. The premises consist of following facilities: ,
(i) Bagging facilities " _ (ii) Storehouse ‘ ‘ - - ,,_
8.,T’he liceneelsgranted subject to the prov1s10n0fExploswesAct ' as amended from time to time and the AmmOniumNitrate Rules 2012 framed them under and the conditions, additional conditions and annexure.
(21) Drawings (showing site, constructional and other details)as stated1n serial no 5 above _
(b) Conditions and Additional Conditions of this licence signed by the District authority.
9. This licence shall remain valid till 31St day of March ..........
This licence is liable to be suspended or revoked for any Violation of the Explosives Act 1884 or Ammonium Nitrate Rules, 2012 framed there under 01 the conditions of this licence, if the authorized premises are not found conforming to the description shown in the plans and annexure attached hereto.
The ........................... 20 Signature, Designatidn ‘ ' ' and seal [District Authority] SPACE FOR ENDORSEMENT OF RENEWALS Statutog Warning: Misuse of Ammonium Nitrate shall constitute serious criminal offence under the law.
.........................................
[11m114m 3(1)] 111111 251 11m:- : 31111111101 ' 151 CONDITIONS
(1) The storage and bagging of Ammonium Nitrate shall be done in Licensed premises shown in approved plan attached with the licence.
(2) The quantity of Ammonium Nitrate in the premises or any palt thereof shall not exceedat any one time the quantity for which licence has been issued. ‘ E3) Sp1lled 01 Sweepingsof Ammonium Nitratethe waste Ammonium N1t1ate collected from sweeping 01 spilled shall bedestrOyed by the licence holder and accountthereof shall be maintainedindicating the quantity of the Ammonium Nitrate destroyed.
(4) The licence holder and every person employed in or about the manufacture, conversion premises shall take all due precautions for the prevention of accidents by fire or explosion in the manufacturing, conversion premises and for preventing unauthorised person from having access to the manufacture, conversion premises or to the Ammonium Nitrate therein and shall abstain from any act whatsoever which tends to cause fire or explosion and is not reasonably necessary for the purposes of work in the manufacturing conversion premises.
(5) No additions and alterations shall be carried out in the licensed premises without a previous sanction in writing of the Licensing Authority. Such additions and alterations so sanctioned shall be shown in the amended plan attached to the licence.
(6) The licence holdershall appoint a competent person to supervise the manufacturing, conversion process and the operations shall be conducted under the supervision of the competent person.
(7) Free access to the licensed premises shall be given at all reasonable times to any inspecting or sampling officer and all facilities shall be offered to the officer for ascertaining that the provisions of the Act and these rules and the safety conditions are duly observed.
(8) If the Licence Issuing authority or the inspecting officer informs in writing, the holder of the licence to execute any repairs or to make any additions or alterations to the licensed premises or carry out [52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART li—~—SE(: 3(1)] recOmmendations, which are in the opinion of sneh authority may pose unacceptable risk and therefore the same is necessary for the safety or security of the premises or persons, the holder of the licence shall execute the recommendations and report compliance within the period specified by such authority.
(9) AmmOnium Nitrate shall not be sold by the licensee The bagged Ammonium Nitrate shall be despatchedto the importer under:whoSelicence theAmmomum NitrateIS 11nported . _ ‘ _
(10) Acc1dentsbyfire01 explos1on andlosses shortageortheft of _ AmmoniumNitiate shallbe Immedlatelyreportedtothenearest 3.
pohcestat1onandtheD1st11ctAuthority ‘ ‘ _ \ ' - L E11)An11110111um Nitrate brought to the licensed storehouseEs)shall be bagged1n suitable bags as expeditiously as possible and stored, duly marked as per rules 8 and 9.
(12) No vehicle should move over heap ofAmmonium Nitrate.
(13) Weigh bridge shall be provided near stevedore’s store hOuse.
(14) Licence holder shall maintain records in the prescribed forms specified in Schedule I Part 3 and shall produce such records on demand to authority specified1n Rule 49.
(15) The licence holder shall submit monthly returns ofArnmonium Nitrate in the Form R-9 of Part 3 of Schedule 11 so as. to reach Licensing Authority and District Authority Within 10th day of every succeeding month.
(16) The llcensee or his authorized agent shall take all due precautions to prevent spillage, contamination and loss on transit of Ammonlum Nitrate whlleunloadmg from theship, transitingtothe 11censed stOrehouse, bagglng and dlspatchlng Signature, Designation and seal of District Authority [1111 1pm 3(1)] 11111 am 11W: 31111111011 _, __ _ 153 LICENCEFORM P—3 (See Sr. No. 3 of Schedule I and rule 35 of Ammonium Nitrate Rules, 2011) Photograph ofthe licence _ holderror“ 'LICGI’ICCNO..........»........._.....;.._'._..... - occupierwith ,_ _A‘n11ua1FeesRs ........ ,_........ ..... 5‘53““??? 1
(a)L1cencetoPQSSe-ss: for sa1eor PLSeLOf AmmomumNltratefromastore house:
-_ " _. " ___ Lk'y'ilei‘or’u‘se1011An1mor11umN1t1ate :fromastorehouse :’ “ exceedmg30MT01 i 1' (C) Licence toPoSsess for useof Ammonium Nitrate from a store house attached to explosives m_anufacturing/Nitrous Oxide manufacturing unit; or 3
(11) Licence to possess foruse Ammonium Nitrate for agricultural purpose from a sto1ehoujse.
1. LicenceIS hereby granted to:
Name:
PostalAddress..................... 1............................. , .....
...........................Clty..............Dlstrlct.....................State ..................... Pincode.........
Police Station ..................... Railway Station 01 Steamer Ghat.................. Phone ................... .............. Email. . . ._ ........
...........Fax :2. Statusof 11cenceholde1: 1nd1v1dua101 company _ , _ , 3Licence 1 is val1d fer “ “the following puprSe- ............................................
4. (a) Licence is valid for ..................... quantity of Ammonium Nitrate at any one time
(b) Quantity of Ammonium Nitrate to be purchased in a financial Year .................
5. The licensed premises shall conform to the following d1awing(s):
Drawing No. .............................. dated .....................
2545 Gl/ZOTZ——20 154 - FHF GAZEIFE OF 1NDIA: EXTRAORDINARY [PART ilriSEC. 3(1)] 6-. "F116 licensed premiSesare situated at Felilowing address:
u...._¢.....-...«-..g..«u.......-..-...-...... ............................................
a.u-...............-.................................-....... ..........................
C1ty ..............131311101 .................... ‘............. State .........
' ‘2 eode..~....;................. 1 - Police _ Ra1lway Station 01“ Steamer ............
Fhe 1122111)?15granted subjeet 10 theploVis-ion 0FExplosives Act 1884 ‘ 213 amended Fiojm time 10 time and AmmOnium Nitrate Rules, 2012 7 flamed there under 211111 the conditiohs,add1tionalcondl’uons and the ‘__F01111W111g 21119111111: ~ ~ __
(1) £11211m11g1, (shewing si1e, e0nstrueti0na1 a11d other details) as statedin serial no. 5 above. - - - "(2) Conditiorls 211111 additional conditions ofthis licence signed by the Lic‘ehce Issuing authmity - A ‘ ’9.Fhis licenceShall remain V2111111i11 31 day 0F1V1211C-h.
This licenceis liable tobe suspended or revoked For any Violation of the ExplosiVes Act 1884 01Ammonium Nitrate Rules, 2012 Framed there _ 11111121131" 01 the conditlons 0F this ilcenceiF theauth0117ed premisesare not __ ”Found con1011111ng t0the descr1pt10nshowninthep121113 andannexuiefl - L =21ttached hefeto L ‘ » - The ........................... 20. Signature, Designation and seal [Licensing Authority] SPACE FOR ENDORSEMENT OF RENEWALS ._ Misuse of Ammonium Nitrate shall eonetitute serieus 211111111211 0F1'e11ee unfier 111e law.
[11111114_~C1:3(1)1 , ‘ firm #111113 1111111111 . _ ' _L‘ , ‘55 CCNCmCNC L L ‘
(1) The Ammonium Nit1atC shall bC pCSSCSSCdL only 111 the liCCnSCd s‘tOrehQusC 01 melt Sto1ag’C tankg1110wn111theapprovedplanattached w1ththe11CCnCC -» _, _ , . , . _ , L holderandaccountthercof shall heL11131111a111Cd 11111111311111) 111C Wof thC AmmoniumNitratedCstroyCd hCCnCCholder and everyperson employed Shah takeH duC ' ' precautionsforpiCVCnthnCfaCC1ants by 1116: 01 CXpiOSion in thC, * f LiiCCnst premises and fC1preventmgunauthouzedpC1son 110111 having access to 1iCCn5Cd p1C1niSCs and shallIabstain 110111 any 61th from whatsoever whiCh tends to Cause 01 explosion and is not (lieasonably‘ nCCCssa1y 101 thC pu1p05C Ofworks 1Clath thCrCto
(5) N0 additionsand aItCraLtiOHS shall be carriCd out in the licensed prCmisCSWlthout aprCVioLus sanction inW1iting of the LiCCnsing AuthorityS11Ch additions and alteiations so sanCtionCd shallbe ‘Shown1n theaanded planattaCthto the licence ,1 ' ' * ‘ (6)Thelicence hCIdL shalldppmnt a“competentpCrantCsupCrVISC111C 4 _, "SS to 111CI1CCnSCdpremlsesshall hLCgLiVCh L211all reasonable times to any inspCCting 01 sampling officer and all facilities shall be offered to the 0thC1 101 ascertaining that the provisions 0f the ACtand these iuies and the safety conditions me duly observed.
(8) 1f the Licence Issuing authm1ty 01 the inspecting officer informs in writing, the holdCI 0f the licence to CXCcutC any repaiis 01 to make any additions or alterations tC thC licensed prCmiSCs 01 ca11y Cut recommendatioan which are in the opinion of such authority may _ pose unacceptable risk and thCrCforC thC samC is necessary fLCI the safety 01 security 0f the p1C1niSCs 01 persons, thC holder 01" the be 156
(11) The 1 THE GAZETTE OF INDIA: EXTRAORDINARY [PARI [l~S[zc. 3(1)] hcence shall execute the recommendatlons 311d reportcomphanee withinthe period specifiedbysuch authority.
(9) Accidents by fire or explosion and losses, shortage or theft of" Ammomum Nitrate shall be immediately reported to the nearest pollcestat10nandthe DistrlctAuthor1ty _ _ ‘01: oldershal submit monthly sold lusedand destroyed111 theform prescrlbed111 Form R—90f Part 3 of Schedule 11 so asto reach LlcensmgAuthontyand District Authority Within 10th day Of everysucceedmg month.
Slgnature,Demgnatmnandseal of Licensmg Authorlty _ BICENCE FORM P4 (See Sr. No. 4"0fSchedule I and rule 35‘ , 0fAmmonium Nitrate Rules, 2012) f phbtograph‘ Lic'enee-«toltransportAmmonium Nitrate ‘ ; - fiffge'icme , 0 ‘er or -, ’ 1 J iV'Ogcdpier-wi‘th LICenCe No. _ _ _ , - “ "Isig‘rjature ~ F_eef:_R-s--11.'t_ ...... (Pepyear) ‘ , 1)”L1ce911ce1 is hereby granted totO \ 1 transport-Ammonium Nitrate 2)“F'r“0m*the‘ premiseslicen‘sed in form ..........._ .....
bearing licence N0 ............................. Situated at .............................. to places specified below. Places of destination- Sl.No. Place District State Subject to the provisions of the Explosives Act, 1884 and the Ammonium Nitrate Rules 2012 flamed there under and to the conditions of this licence.
{1 1 1 1;[:
[W111 633.300 mam: mm 157 3)Postaladdress 0f1icensee ...... x................
4) The licence shall remain in force till 3 ist day ofM'arCh, 20 .......
This heenee13 liable to be3113 ended or reVOked for anyviolatien 0f the Exploswes ACt 1884 Or AmmomumNitrate RUles, 2012 framed there underorthecond1t10ns of this cence __ SignatureDestgnationandseal017 LicensmgAuth011ty - -_ SPACE FOR ENDORSING RENEWALS Statutery Warning: Misuse Of Ammonium Nitrate shall constitute seriouscriminal offence under the law. _ E.___n--————n-1———-u———-—--—-~—~--s——— CONDITONS ,( 1) This licence becomes void 011 the expiration of the terms-mentioned the1ein or if a consignment breaks before reachingthe place of destlnation or if the Ammonium Nitiate is taken from or to any place other than the plaCes mentionedin the licence
(2) The liceHSeeshall tra‘nspOrt onlyAmmonium Nitrate as he is aUthOrised t0 pessess under the Act and the Ammonium Nitrate Rules2012 framed there under. ‘
(3) The quantity of Ammonium Nitrate despatched to any consignee shall not exceed the quantity which such consignee is entitled to possess under a licence granted under these rules.
(4) Each consignment 0f Ammonium Nitrate shall be covered by a pass in Form R—11(B) and that (when the Ammonium Nitrate is transported by rail) such pass shall be attached to the way bill or the invoices as the case may be.
(5) A copy of each pass issued for each consignment shall be sent to—
(i) Licensing authority;
(ii) Controller of Explosives in Whose jurisdiction the premises from which the consignment is sent, is situated; and 158 ‘ THE GAZETIE OF INDIA: EXTRAORDINARY [P1111 11—51:c 3(1)]
(iii) The (3011111111121 0fExplosives111 whosejuflSdlCthl’l the premises to which the Ammonium Nitrate are sent is situated.
(6) Any loss shortage01 theft of Ammonium Nitrate in tranSIt shall be reportedw1thout delay to the licensmg authorrtyandtothe police ,
(1) Th1sheence15not transferable _ . - ‘ 1(2) This liCenceor its authenticatedcopy shah ata11timesbe kept1n the 1 transpOrting Vehicle and produced on demand by an1nspect1ng ‘ officer. 1 - __
(3) AmmomumNitiate shahnothe transportedw1thany other, expioswes inflammable substanees oil carbonaceous matteretC L
(4) The driver 01 Operator of vehicle carrying 01 containing an Ammonium Nitrate Shall notstop unnecessarily or for a longe1 period thanis ieasonably required, and shall aVOid stops 01-places ‘ where pUb1iC safety15 in dangei:
Prov1ded that" where : VCh1C1e‘ L transpomng or Lcontainlng AmmomumNitrate isparked QVernight d11e to breakdown of article hkelyto cause explosmn01 the
(b) shall be away fiom any habitation of any go down Containing aiticles of a flammable natule or other hazardous goods:
Provided further that the nearest police station shall be informed about the location and temporary parking, of the vehicle [11111143113301] * WWW 31111211101 1‘19
(5) VChiClC while transportmgAmmomum NitratC shall be adequatCly secured at the CxansC of the liCCnCC hCldC1. If thC C01131g11111Cnt Cf Ammonium Nitrate islikely to pass thrdugh SCfis‘itiVC areas 5 - not1fiCd by thC M1n1stryCfHome Affairs 11should be Cscorth by 51 1 1 ‘ jp10V1dCdbytheD1strlctPoth 1
(7)TransportofAmmonlumTNfiratCinsens1t1VC areanotlfiCd by M1n1stry Cf H0111C Affaus shall 1101CCallowed durlngthC pC1iCd of SunsettoSunrlsC - ,
(8) NC smokmg and 11C111C C1a1t1fiC1alllghtC1 anyafilClC capable Cf C3113111§D 111C shall beallowed 011thC VCh1ClCca11y111gAmmomum __ , N1trate 01 AmmonlumN1tratCmelt 1‘ ‘ - - ‘ __ (9) The VCh1ClCshall 1101 be11stfC1Ca11ying passenger
(10) ThCVCh1ClC While Ammonium Nitrate a1C bCing loaded 01 1 _ , unloaded ortransported shall always be under thC Cl1a1gC of 139,: : competentperson who shall be CXperiCnCCd 111 handling of Ammomum Nitrate and fully conversant thCrC undC1.WhCrC thC -- VCthlC1101 driVCn by the liCCnCC holder adocument s1g11Cdbythe 7‘110C110C hCIdC1naming persons author1SCdtCdriVCandaccompany;_ . 1‘10a111nspCC’1111gofficer 1 _ ,
(11) ThC Ammonlum Nitrateshall be lCadCdinto thCVCh1c1CCnly atthC licensed- pICmiSCs Cf consignor andUnloaded from VChiClC at the licensedpremises 0f the consignee
(12) The licence holder shall maintain account of Ammonium Nitrate transported in F01111 R—6 and present the same on demand by an inspCCting officer. «
(13) Free access shall be given at all reasonable times to any inspecting Cr sampling officer and every facility shall be afforded to the =11 _}j‘,_-the vCh1ClC shallbe C3111Cd111t_hCVCh1ClCandproduced 011dC111and.__ ‘1 A 160 TIIE GAZEI‘TEOF INDIA: EXTRAORDINARY ‘ _ [PAR‘I II~—~SEC 36)} Officer for ascertainingthatthe provisions of theActortheSe rulesI , andthese conditions are duly obserVed. ‘ 1* (l4) Accidents by fire or explosion and losses, Shortage or theft of Ammonium Nitrate shall be immediately repQrted to the nearest 1policestation and the Districtauthority _. ' 2 _ LICENCEFORM P—5 _ __ (See SrNQ.5 OfSchedule I 311d1uIe 35 L ofAmmomumNitrateRuIes 2O12) ,- (21) Licence toImport AmmonlumNltrate or _ ‘ , , _ .
1 (b) LicenCetQExportAmmonium Nitrate ‘* _' y. , Photograph _ _ ofthelicence _ __ __ ,1 * __ - -- , , holder or ‘ LICGI'ICC NO......, .......... -. . . .- ......._ ..... occqpie‘r with Eees Rs ..... . . . r. . ._ .........‘ .. - Signature ILicenceIShereby grantedto:
Name ‘ Postal Address..;}._,:_...L’..;-.‘...~...'.‘."I;.,-“ ~ ~ ‘ ° -‘ _, q _ ............C1ty....._..,.,....Distrlct.......L..............State.......;....-......
...... Pin COde.........Police Station Railway Station or _ Steamer Ghat............... Phone .............EmailFax
2. StatusofLicenceHolder:...................................... .......
3. Licence is valid for the following kinds and quantity of Ammonium Nitrate:
PICQNmTiQNs‘ 15,; . - _ 1111: GAZI:11; 01‘ INDIA LXIRAQRDINARY _ _, [mm113311: 31111 ShaIItake deIiVery 0f the baggedAN er111 Storehouse311d- Shall dehveratthelicensed I “8)The; wner'aridmasteroftIiQ s - ' QQ11 the strengthQfthi _‘licenceshallif , ' thorityhax111gJUI‘ISdchIODoverthe pIdI‘GQfimportanon allow such Inspector Q1 Qfficer totakefor exammationsamples ofany AmmoniumNitrate SQimported ” ‘ _ -- , > - , a 9) F1Qe access KI’MIIbe giyen at SIIreasonable timeSIQ ahyinspectmg Qr , samplmgQffiCer and eVery fQQiIity shaII be afforded tothe officei for ascertammg thethe prQV151011Sof the Act 01 theSQ ruIeSaridIheSe ‘ __ eondltlons are duly QbS'erVed. ' ' ‘ __ III)ACCidents by fire01 expiosmnand losses, ShortagQ or tthtof L " Ammonium 'Nitrate‘ShaI bQ 11' Viatelyreportedftothe nearest ‘ ' ‘ ' " 1ie‘Controle'Qf" IfII)The quantityQf ammoniumNitrate exported(:111mp01ted 01 posseSsecI shall no: exceed the limit spQCified111 the IiCence 12) License holder” shall maintain secords and submit returns in the piescribed forms specified in Part 3 of Schedule II and shall produce such Iecords demand to authority specifiedin rule49 Signature, Designation and seal of Chief Controller Qf‘Expleives ,163 - [11111151113130111-1, __ ‘ ____,___________ —____~_-,.______..
DearSHIN: i , __ __ I. I,‘ ........Onbehalf0in......41;
‘ - licence_ number...._. 9.;111 from...... \ _ _ Information V‘ _1 _ V V‘Durmgthe1an five years———'l I ‘ (i) IwasQTwe_we1e—— I ' “§~jj“____.'_QfCriminalProcedure 1973(2of 974):abondafozkeepmg ?
1 Peace 0rfVQVrgood behaV10ur ’9 ' ‘ I I (C) Not issuedany directiQn from the Courtin connectionwiththe -- above said licence or certificate (Give detaiIS if anvaQr in affirmatiVe) _ - ‘-
(ii) LiCQnCQ 01- ‘ __ certifiCate NQ.,'.......1..r.;..<1..in FQIm;...............granted under theAct aridthese rules tome 01' ~ us were cancelled 01 not renewed: by the Iicehce Issuing authority.
Ammonlum - Nltl'ate L Name Place leelydate -,_ manufacture;
and orName Qfsh1p \ address of port _ Qf ahddate Qf “OrpO‘r‘t- ofarrival sggpsignor despatch j} _\_§_a:1,1_lyng_ ‘ ‘ ‘ - fyx‘Date L Date :
Place:
Address ......................................................
(Authorised person in case of a Company) Signature of Importer ........................................................
Name1n full .................................
: [11111 new3(1)] “ f Name 3 jaddress Licence i, number “and;
Nltratedespatched :
and of 7 i Name address consignor Quantity Qf Ammonium Nitrate Place I . Qr port from Which Name Of ship;
Date of arrival and place [WT ll—EWE 3(1)] mmflmzmw 169 Quantity of Ammonium Nitrate .unloadsedf ship: either in bulk or large;
sizs: bags Or.
container N0. of the bags ° which Ammonium b61211 repacked 111 of Total;
quantity Ammoniu m Nitrate repacked in bags of to N0. of bags or quantity Ammonium dispatched the importfir Nitrate" 1‘ Date dispatch packed of of Ammonium importer ‘ 4' 7 Name and address of the Transporter and his Licence No.
Registration No. of the vehicle through Which Ammonium Nitrate dispatched 10 Quantity of Ammonium Nitrate Spilled, collected and sent for reprocessing t0 converter Pass No.
Signature of License holder/ person ingharge ll 12 13 Place .............
2545 GI/2012~22 ’ Signature of Licence Holder or person incharge .................
170 THE GAZETTE OF INDIA : EXTRAORDINARY [PART H~SEQ 3(i)] mfifififl (See rule i4 oi’Ammonium Nitrate Rules, 2012) Farm 11? 1111303115 t0 be maintained by 21 Transport Licence Holder Rec_01fds___ 0f Ammonium Nitrate 0r Melt - - transported by vehicle Note - This record should be kept up to date.
Licence number ....................... in Form .................. 0f Ammonium Nitrate Rules, 2012 Date Name, address Place Quantity vehicle Name and Licences 0f transported Ragistrat Address number of the loading i011 No. and consignsr Licence N0. of the 7 Driver Ammoniu Ammo m Nitrate nium in bags Nitrate Melt #1 2 fl 3 4 5 ‘6 | _ Pass No. Name, Place of Date of Remarks Signature of address and unloading unloading of " License licence Ammonium holder/ number of Nitrate or person the Melt incharge consignee _ ,_ 7 8 9 _ 10 11 12 Signature of Licence Holder or person Incharge Place .....................
[11m 1pm 3(1)] 111161 W W : mm 171 - FGRM R—«V’ (See rule 14 0fAmmonium Nitrate Rules, 2012) Form of account to be maintained by a licence holder ,1 Accounts of sake of‘Ammanium’Nitrate Note — This record should be kept up to date, ‘Entries should be made daily and as and when Ammonium Nitrate is sold.
Licence number....................... in Form .................. 0f Ammonium Nitrate Rules, 2012 7Date Opening Quantit Batch Name, Mode of Pass Balance y of Numbe address Transport, number (in kgs) Ammon r V and Licence vehicle No.
ium Number and Nitrate from whom Transporter received Ammonium s Licence (in kgs) Nitrate is No.
1 ‘ 7 received 1; 1 2 3 4 5 __ a Q 7 15 1_ D .. 4 __ 4_ _ 1 Quantity of Batch VName, address Mode of Pass ' Ammonium Numbe and Licence Transport, number { NitrateSold r Number to whom vehicle N0. and (in kgs) Ammonium Transporters fl‘ Nitrateisisold Licence N0. 2 2 1 182 2 9 L0 H 2 12?
Closing balance Remarks j jig kgS) 4 172 THE GAZETTE OF INDIA : EXTRAORDINARY [PAR'l IF—Sl-LL: 3(1)] 13 1 14 Signature of Licence Holder or person Incha-rge Place ..............................
___-——_m___—_u___m___-____- FORM R-8 (See rule 14 0f Ammonium Nitrate Rules, 2012) Form of account to be maintained by a licence holder Accounts of use of Ammonium Nitrate ‘ Note ~ This record should be kept up to date. The entries should be made dai1y and as soon as Ammonium Nitrate are issued for use or unused Ammonium Nitrate are returned.
Licence number....................... in Form ............. _ ..... 0f Ammonium Nitrate Rules, 2012 Date Opening Quantity of Batch No. Name, Balance Ammoniu and Date Address (in Kgs) m Nitrate and Licence received N0. from (in Kgs) whom, Ammonium Nitrate is received 1 2 3 4 5 1 Pass N0. Quantity Place of use used (in kgs) 6 7 8 [V1171 Hum 3(1)] W 351' W51 : NW 173 Signature of Licence Holder or person Incharge Place ..............................
——————————————————————————— FORM R-9' (See rule 14 ofAmmoniUm Nitrate Rules, 2012) Monthly Returns of Ammonium Nitrate Statement of Ammonium Nitrate Received, used, sold, destroyed and stolen during the month of..................... in respect of store house of ................................. “situated at District ......... .. .....
State .............
Licence number ....................... in Form ............... of Ammonium Nitrate Rules, 2012
1. Opening balance on the 1St day of the month:
2. Account ofAmmonium Nitrate:
Particulars ofAmmonium Nitrate received FDate Quantity Name, address and' Pass No.
(in kgs) licence number of suppliers from whom Ammonium Nitrate was received - 1 2 3 4 1 1.
2.
3. Total quantity of Ammonium Nitrate used or sold during the month Date Quantity Name, address Pass N0. Quantity ‘ Sold and license used (in kgs) number to whom ( in Kgs ) 2545 G1/2012—23 174 THE GAZETTE OF [N DIA : EXTRAORDINARY [pARl' 11—SEC. 3(1)] 1 1 Ammonium Nitrate was seld 1 2 3 4 5 21
1.
2.
_4. Particulars ofAmmohium Nitrate destroyed during the month 1) ate Quantity Reasons for ( in kgs ) destruction 1 2 4
2. ' J
5. Particulars of Ammonium Nitrate stolen or short received.
Date Quantity ( in kgs )- 1 2 22 l.
2.
3.
4 Quantity Whether theft or loss Remarks ( in kgs ) reported to police and District Authority if so, give reference 3 4 1* 5
1.
2.
3. g L42 Signature of Licence Holder 0r Person in Charge Place ..............
Date ...............
[‘WI 11 ~13" 0% 3(1)] 1W $1 T131151 : 31131115111111 I75 FORM Rum (See rule 26(2) (a) ofAmmonium Nitrate Rules, 2012) Form of indent for Ammenium Nitrate .....................
.....................
g _ .
Dear Sir, Kindly supply the foilowing quantities of Ammonium Nitrate to me or us:— Quantity (in kgs) :
1 01' We hold a licence number. ..................... in Form ..................... 0f Ammonium Nitrate Rules, 2012 for possession for sale or use of following quantities of Ammonium Nitrate Quantity (in kgs) :
The above 1 mentioned licence is valid till......................
I or We s01e1nn1y declare that
(a) the receipt of Ammonium Nitrate indented will not result in the licensed quantity being exceeded; and
(b) no identical indent has been placed with any other supplier *The Ammonium Nitrate may please be handed over to my 01' our“ authorized representative whose signatures are attested below:
176 THE GAZETTE OF INDIA : EXTRAORDINARY [PART llirSEC. 3(1)] Attested Signature ofLicence holder.
Signature of Licence holder (Consignee) (*Strike out whichever is not applicable.)
FORM R—l 11 a) (See rule 20(3) ofAmmonium Nitrate Rides, 2012) Form of intimation to be given by the consignor to the District Superintendent of Police before dispatch of consignment of Ammonium Nitrate.
Quantity of Ammonium Nitrate proposed to be despatched Number 010packages or bags ..............
The Ammonium Nitrate proposed to be transported by vehicle Registration No. .................................. 3 Name and address of consignee Number and va1idity 0f Consignee’ s licence to store Ammonium Nitrate ......................................
1’1. (Tensignee’s indent number 1 and date
7. Name and address of the authorised person who will receive the consignment ............................
8. Date ofdespatch ofconsignmentf........................._- .........
Signature of the consignor Licence number w Licence Form Place :
Date :
[WT 11mm 3(i)] mm 371 mm : mm 177 FORM Rwl 11111 (See rule 21(4) of Ammonium Nitrate Rules, 2012) Pass issued by the consignor for transport of consignment 0f Ammonium Nitrate
1. N0 ..........................................
2. This pass covers. ......................................bags containing followingquantity 0fAmmonium Nitrate, or Ammonium Nitrate Melt
(a) N0. of bags
(b) Quantity
(0) Batch No. and date
(d) Name of manufacturer converter
(e) Stevedore 8 license No.11nder Ammonium Nitrate rules 2012 While in transit from ............................t0
3. The Ammonium Nitrate is being transported by vehicle bearing Registration No ...........
4. Name and address of consignee ..........................................
5. Number and Form ot‘Consignee’e licence ........................
6 Consignee’ 5 order number and date and quantity of Ammonium Nitrate ordered ......................................
7. Consignee’s letter number and date intimating ........................
readiness to receive Ammonium Nitrate
8. Date of despatch of consignment ................... ........... ,.......
9. Approximate date on Which consignment .. ......................
should reach the destination.
Place: Name and Signature of the consignor Date : Licence Number Licence Form 178 THE GAZETTE OF INDIA : EXTRAORDINARY CERTIFICATES Form C -1 [Pam 1177775111. 3(1)] (See rule 18(5)0f the Ammonium Nitrate Ruies, 2012) Declaration to be made by the master of a ship carrying Ammonium Nitrate before entering a port or by the ship's agent.
1. Name ofship .......' ...............................
2. Date of Arrival at ........................ Port ...............................
Description Date of Total quantity Quantity to be Remarks of manufacture, carried landed at pelt Ammonium batch number Kilogramrne Kilogramme Nitrate and other 01‘ Bags or Bags distinguishing marks on Bags Place ...................
Date ................ Signature of Master or Agent of Ship [51W Il—EU‘S‘ 3(1)] “WET $1 WW : WW 179 02 Format 0.1" No Objection Certificate (See rule 33 0f the Ammonium Nitrate Rules, 2012) N0 Objection Certificate under the Ammonium Nitrate Rules, 2012 No................ Date ...............
With reference to the application No. ................... Dated ........submitted by ............. and in pursuance of rule 33 of the Ammonium Nitrate Rules 2012 ......... there is no objection for granting licence under the Ammonium Nitrate Ruies .......t0 Shri er Mrs. of address ..................... for the following purpose, kinds and quantities of Ammonium Nitrate in the premises at Survey No. or Gat No. or Khasra No.................... , Village ............ Taluka............................ District ........................ State.................................as showninthe site plan duly endorsed and enclosed herewith.
1. Purpose : ...............................................................
2. Quantities ofAmmonium Nitrate :
(a) at any one time : ......................................................
(b) in one month : .........................................................
1 Signature of the No Objection certificate issuing i authority with his office seal (District Magistrate or Director General of Mines) [R No. 17(12)2007—Expl.]
D. V. PRASAD, Jt. Secy.
,1 3 1'1 t .3 i i 2_-22 Printed by the Manager, Government of India Press, Ring Road. Mayapun‘, New 081111410064 and Published by the Controller of Publications. Delhi-110054.
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[W1 11* E103 3(1)] W $1 Irina : 31mm 179 02 Format of No Objection Certificate (See rule 33 of the Ammonium Nitrate Rules, 2012) No Objection Certificate under the Ammonium Nitrate Rules, 2012 No................ Date...............
With reference to the application No. ................... Dated ........ submitted by.............and in pursuance of rule 33 of _the§3_ Ammonium Nitrate Rules 2012 ......... there is no objection for!
granting licence undel the Ammonium Nitrate Rules .......to Shri 01 Mrs. of address ..................... for the;
following purpose kinds and quantities of Ammonium Nitrate 1 ‘1 premises at Survey No or Get No. or Khasra No..............
Village ............ Taluka ............................ District ........................ State”..............................as shown1n the site plan duly endorsed and enclosed herewith.
1. Purpose : ...............................................................
2. Quantities of Ammonium Nitrate :
(a) at any one time : ......................................................
(b) in one month : .........................................................
Signature of the No Objection certificate issuing authority with his office seal;
(Dist1ict Magistrate or Directof General of Mines) [F. No. 17(12)2007—Exp1.]
D. V. PRASAD, Jt. Secy.
Prlnted by the Manager, Government 01 11111121 Press Ring Road MayapuriNew Delh1-1101o-1 and Published by 1116 Conlro1lcr of Publications De1hi-110054