.

Republic of the Philippines

Department of Environment and Natural Resources
MINES AND GEOSCIENCES BUREAU
0 Regional Office No. III
Matalino St., Diosdado Macapagal Gov. Center, Brgy. Maimpis, CSFP
Telephone No. : (045)-404-19-63 / (045)-404 – 19- 65 / (045)-404-19-66
E-Mail: region3@mgb.gov.ph / mgbr3@yahoo.com

1st Letter Notice Form

(date)

(mining company)
(address)

Attention : (representative)
(Position)

Dear Mr/Ms. _________:

This refers to your application for Industrial Sand and Gravel Permit (ISGP)/Mineral
Production Sharing Agreement (MPSA), denominated as ______________ covering
an area of _________ situated at ________________.

Please be informed that evaluation of the documents pertinent to the subject

application reveals the following deficiencies:

1. ----
2. ----
3. ----

Kindly submit the above-mentioned documentary requirements within ten (10) days
from receipt of this Letter, otherwise, we shall be constrained to consider your non-
submission as disinterest in proceeding with your application which shall result from its
denial.

For your compliance.

ALILO C. ENSOMO, JR.

Regional Director

“MINING SHALL BE PRO-PEOPLE AND PRO-ENVIRONMENT

IN SUSTAINING WEALTH CREATION AND IMPROVED QUALITY OF LIFE”