You are on page 1of 1

Form M.

M 46

MINES AND MINERALS ACT

ZIMBABWE GOVERNMENT MINING DIPLOMA

CANDIDATE’S APPLICATION FORM

I, the undersigned, hereby make application in terms of section 279 of the Mining
(Management and Safety) Regulations, 1989, to be examined for the Zimbabwe
Government Mining Diploma.

Surname:……………………………………………………………………………………
Forenames:…………………………………………………………………………………
Address:……………………………………………………………………………………
………………………………………………………………………………………………
……………………………………………………………………………………………....
Qualifications certificates to be attached: certified copies accepted)
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
Zimbabwe Full Blasting Licence Number:…………………………………………………
Previous mining experience (evidence to be submitted: records of service)
Mine Capacity in which Duration of such employment
employed
………………………. ………………………. ……………………………
………………………. ………………………. ……………………………
………………………. ………………………. ……………………………
………………………. ………………………. ……………………………
………………………. ………………………. ……………………………
………………………. ………………………. ……………………………
Present employer:…………………………………………………………………………

Date:…………………………………….. Signature:………………………………….
This application form must be accompanied by the prescribed fee of $30,00 and
letter of recommendation as to character and capabilities.

The fee should be paid either by cheque or postal order made payable to “The
Accountant, Ministry of Mines”.

You might also like