Mines & Geology Department Haryana

Recognised Qualified Person ( RQP) by Mines & Geology Department,Haryana

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Recognised Qualified Person ( RQP) Registration

Personal Information

Full Name *

Email ID*

Gender *

Male Female Other

Date of Birth*

Father's/ Mother's Name *

Nationality *

Mobile Number *

Upload ID proof Document * only pdf upto 512KB. The pdf should contain your domicile / Aadhar card (from any state in india) on the first page, your Current Address on the second page.

Upload Passport Size Photograph* only pdf upto 512KB. The pdf should contain your passport size photgraph(resent).

Permanent Address

Permanent Address*

Permanent State Name *

Permanent District Name *

Tehsil *

Village *

Permanent Address Pincode *

Correspondence Address

Same as Permanent Address

Correspondence Address

Correspondence State:

Correspondence District

Tehsil

Village *

Correspondence Pincode

Education Qualification

Qualification Type

Name of Equivalent Qualification

University Name

Year of Passing

Degree/Certificate No.

Upload Educational qualification Document * only pdf upto 512KB. The pdf should contain your educational qualification certificate.

Professional Experience

Organization Name

Designation

Period From

Period To

Experience (Years)

Nature of Work

Upload Experience Document

Attach experience certficates. Minimum of five years in supervisory capacity in mining or mineral administration is.

Declaration by the Applicant

I, , hereby declare that the particulars given above are true and correct to the best of my knowledge and belief. I have read and understood the conditions for registration as a Recognised Qualified Person (RQP) and undertake to abide by them.
I understand that my registration may be revoked in case of any misconduct or misrepresentation, after due notice and hearing.

Signature of Applicant (Upload Image)

Place

Date

Signature Preview

Payment

Fee Amount *

Bank *