Ek Form- 14

 

T.C.

ENERJÝ VE TABÝÝ KAYNAKLAR BAKANLIÐI

Maden Ýþleri Genel Müdürlüðü

 

BULUCULUK BELGESÝ

 

Ýli                                                                           :

Ýlçesi                                                                     :

Köyü                                                                    :

 

Buluculuk Belgesi Numarasý                             :

Madenin Cinsi                                                     :

Madenin Bulucusu                                            :

Buluculuk Belgesinin  Tarihi                             :

Buluculuk Verilen Alan                                     :

Buluculuk Verilen Rezerv Miktarý                    :

T.C. Kimlik No                                                     :

Vergi Daire ve No                                                               :

 

Pafta Numarasý                                                    :

 

BULUCULUK BELGESÝ VERÝLEN GÖRÜNÜR REZERV KOORDÝNATLARI

 

           1.NOKTA        2.NOKTA          3.NOKTA         4.NOKTA          5.NOKTA        

Saða    (Y)       ………….          …………..        ……………      ……………      …………..

Yukarý  (X)       ………….          …………..        ……………      ……………      …………..                                                    

 

 

 

                             6.NOKTA       7.NOKTA          8.NOKTA           9.NOKTA           10.NOKTA

Saða    (Y)     ………….          …………..        ……………      ……………      …………..

Yukarý  (X)     ………….        ……………..        …………..      …………….       ………….

 

 

 

 

 

 

 

 

 

ENERJÝ VE TABÝÝ KAYNAKLAR

                                                                                                                    BAKANI a.