Form Of Application To Obtain A Certificate Of Manufacture

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FORM ‘D’
[See Clause 14(2) (a) & 18(1)]
FORM OF APPLICATION TO OBTAIN A CERTIFICATE OF MANUFACTURE OF
PHYSICAL /GRANULATED MIXTURE OF FERTILISER OR ORGANIC
FERTILIZER/BIOFERTILIZER
To,
The Registering Authority
Place__________________
State of ________________
1) Full Name and address of the applicant:
2) Does the applicant possess the qualification
prescribed by the State Government under
sub-clause (1) of clause 14 of the Fertilizer
(Control) Order, 1985;
3) Is the applicant a new comer? (Say ‘Yes’ or ‘No’)
4) Situation of the applicant’s premises where physical
/granulated mixture/organic fertilizer/Biofertilizers will be prepared;
5) Full particulars regarding specifications of the
physical /granulated mixture/ organic fertilizer/Biofertilizers of fertilizers/
for which the certificate is required and the raw materials
used in making the mixture.
6) Full particulars of any other certificate of manufacture,
if any, issued by any other Registering Authority;
7) How long has the applicant been carrying on the
business of preparing physical /granulated mixture
of fertilizers/ organic fertilizer/Biofertilizers/ mixture of
micronutrient fertilizers?
8) Quantities of each physical/granulated mixture of
fertilizers/mixture of micronutrient fertilizers/ organic fertilizer/Biofertilizers
(in tones) in my/our possession on the date of the application and
held at different addresses noted against each;
9) (i) If the applicant has been carrying on the business
of preparing physical/granulated mixture of fertilizers/
mixture of micronutrient fertilizers/ organic fertilizer/Biofertilizers,
give all particulars of such mixtures handled, the period and place(s) at which
the mixing of fertilizers was done;

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