FORM "A" (See Clause 4) FORM OF APPLICATION TO OBTAIN DEALER S LICENSE To, The Registering Authority, .. (Place) State of / U. T. of 1. Full name and address of the applicant : 2. Name and postal address 3. Place of business (Please give exact address) For...
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FORM "A" (See Clause 4) FORM OF APPLICATION TO OBTAIN DEALER S LICENSE To, The Registering Authority, .. (Place) State of / U. T. of 1. Full name and address of the applicant : 2. Name and postal address 3. Place of business (Please give exact address) For sale for storage 4. Is it a proprietary/ partnership/ Limited Company/Hindu undivided family concern? Give the name (s) and address (es) of the proprietor/partner/Manager/Karta. 5. In what capacity this application is made : Proprietor Partner Manager Karta 6. Was the applicant ever convicted under the Essential Commodities Act,1955(10 of 1955) or any order issued there under during the last three years preceding the date of application? If so, give details. 7. Give the details of seeds to be handled. 8. Sr. No. Name of seed I /We have deposited the license fee of rupees fifty vide challan No.______________ dated __________ in treasury/bank _________________________. Declaration: I/We declare that the information given above is true
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