THE MINING ACT.

THE MINING (LICENSING) REGULATIONS, 2019.

FORM XVI
Regulation 36 (3)

MINERAL DEALER’S LICENCE.

No…………

(1) This mineral dealer’s licence is hereby granted to*… ………………., address
……………………to deal in the following minerals+ ………… ……………..

(2) This licence is subject to the provisions of the Mining Act and Regulations made
under it.

(3) This licence expires on ………………………….31st December year 20

……………… Fees of: Shs ………………… paid; vide receipt No……… year 20
……………

Dated this …………….. day of ……………………..year 20……………

………………………………………………………….
Commissioner for the Geological Survey and Mines Department.

*Here insert name and address of licensee.

+Here insert minerals in respect of which the licence is granted.
!Here insert place of business.