Application and Renewal Form for a Mineral Right

RECONNAISSANCE LICENCE, EXCLUSIVE PROSPECTING LICENCE, and MINING LICENCE to the Inspector of Mines, Government of Belize

Type of Mineral Right being applied for:*
- Non-Exclusive Prospecting Licence NEPL
- Reconnaissance Licence RL
- Exclusive Prospecting Licence EPL
- Mining Licence ML
1. Name of Applicant:
First Last
2. Nationality of Applicant:*
Nationality of Applicant
3. Age of Applicant:
Please enter a number from 18 to 100.
4. Mailing Address
Street Address Address Line 2 City District Country

*Mailing Address of Applicant in Belize at which notices, etc. may be served:
5. Cell Phone*
6. Fax
7. Email*

An email address is required to submit an application.
8. Shareholders:
If a company, name of principal Shareholders:
9. Company/Agent Mailing Address
Street Address Address Line 2 City District Country

*Mailing Address of Company (and Agent):
10. Has the Applicant previously made an application for a Mineral Right, N.E.P.L. or Quarry Permit:*
- Yes
- No
11. Has such an application been refused?*
- Yes
- No
12. If the answer to Question 11 is Yes, what were the reasons for refusal?
13. Has the Applicant or his employer (if any) previously held any Mineral Right, Permit or Licence in Belize that has been revoked?
- Yes
- No
14. If the answer to Question 13 is Yes, what were the reasons for revocation?
15. Location of proposed development:
16. Grid (UTM) reference:
17. The type of material he intends to extract:
18. The quantity of material he intends to extract:
19. The price of material to be extracted ex-mine:
Material Price
20. Size of Site Area :*
Measurement (acres, hectares or square meters):*
21. What is the nature of your interest in the land (owner, leaseholder)?
22. Are there any other landowners? (If so give names and addresses)
23. Have they been notified of the proposal?
- Yes
- No
(Note: If not owned by the applicant, a copy of the agreement with the landowner must be obtained and attached so that this application may be processed.)
24. Have you enclosed a proposed Mining Management Plan (MMP)?*
- Yes
- No
(Note: an application will not be processed until an MMP is submitted, to enable the appropriate assessment of the proposal)
25. What is the existing land use within the application site?
26. Requested duration of Reconnaissance Licence or Exclusive Prospecting Licence or Mining Licence
Attached documentation required pursuant to Regulations
- Map
- Sketch plan
- Land title
- Letter of intent
- Other:
Other File Description:
File
Drop files here or

Accepted file types: jpg, png, pdf.

Material	Price