Annexure H, Form R-6 (See Rule 14 Of Ammonium Nitrate Rules, 2012)

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Annexure- H
FORM R-6
(See rule 14 of Ammonium Nitrate Rules, 2012)
Form of records to be maintained by a Transport Licence Holder
Record of Ammonium Nitrate or Melt transported by vehicle
Note:-This record should be kept up to date.
License number ____________________________Form __________of
Ammonium Nitrate Rules, 2012.
Name, address
Place of
Quantity transported Vehicle
Name
Date
and License
loading
registration
address
No. of the
No.
and
A/N in
A/N Melt
Consignor
licence No.
bags
of the
Driver
2
3
4
5
6
Pass
Name,
Place of
Date
of
Remarks
Signature of License
No.
address and
unloading
unloading
holder/person
License No.
of
incharge
of the
Ammonium
Consignee
Nitrate
or
Melt
7
8
9
10
11
12
Signature of Licence Holder or person Incharge.
Place___________
Date___________

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