GOVERNMENT OF INDIA

MINISTRY OF LABOUR AND REHABILITATION

DIRECTORATE GENERAL OF MINES SAFETY

Certificate of practical experience granted by the Manager to a candidate for a

Manager's/ Blasters Certificate of Competency Examination under the Metalliferous Mines
Regulation,1961*.
I Shri .KISHOR KUMAR S./ NATHU SINGH CHOUDHARY being the Manager
of Rampura Agucha Underground Mine belonging to Hindustan Zinc Limited do hereby certify
that ............................................................. Son of Shri ........................................................................
(Whose

signature

is

appended),

worked

in

the

above

mine

from....................................to............................During his term of work aforesaid, he has obtained

practical experience as detailed overleaf. The duties connected with his work have involved his
continuous attendance at the Mine, and have been efficiently performed by him.
I believe him to be of good character and a fit and proper person to be examined for
certificate of competency.

...........................................................
(Signature with date and official seal)
Manager:
Mine

: Rampura Agucha UG Mine

P.O.

: Agucha

District : Bhilwara
State

.........................................
(Signature of Candidate)
Note: * Delete if not applicable.
State Name of Mineral:(1) Sphalerite
(2) Galena

: Rajasthan

S.N.

Particulars of practical
experience (a)

Place of
Experience (b)

Period of practical
experience ( c)
From

1. decline development
drilling&blasting,mine
support system,loading &
hauling,ventilation
dewatering road
maintenance etc.

To

Total experience
Years Months Days

Rampura
Agucha UG
mine

Grand Total

AVERAGE MONTHLY OUTPUT (d) AVERAGE DAILY EMPLOYMENT (C) DURING THE ABOVE
PERIODS
GIVEN BELOW:

In below-ground working

In surface working

In all

........................................

........................................................................

(Signature of the Candidate)

(Signature of Manager with date and official seal)

Name of Mines: - Rampura Agucha UG Mine

Instruction:(a) State clearly the nature of duties.

(b) State whether on-surface, in opencast working or belowground.
(c) State Specially the period spent by the applicant in different mining operation, or surveying
operation as the case may be, if the employment has not been such as to involve continuous
attendance of the applicant at the mine, whether underground or aboveground and in what
capacity.
(d) Delete if the mine is a Metalliferous Mine.
(e) Delete if the mine is a Coal Mine.
Note:
Any certificate of experience of training, which is not issued under the official seal of the
concerned Mine manager, would be rejected.