Form- J For Kerosene Licence

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FORM- J for KEROSINE LICENCE
FORM- J
(Article 3 of the Schedule 1)
License to store non-dangerous Petroleum otherwise than in bulk, in quality not exceeding
_____________ kiloliters
No. :
/
Fee Rs. 40/-
License is hereby granted to_________________________ R/o._______________
valid
only for the storage of _______________ kiloliters of non-dangerous Petroleum in the
storage shed described below, subject to the provisions of the Petroleum Act, 1934, and the
rules made there under and to the further conditions on the back of this license.
This license shall remain in force till __________________.
Yavatmal District Magistrate, Yavatmal.
Date:
Description and location of the storage shed.
This license is liable to be cancelled if the license premises when inspected are not found
conforming to the description and conditions attached hereto and contravention of any of
the rules and conditions under which this license is granted is also punishable with fine
which may extend to five hundred Rupees for a first offence and which may extend two
thousand Rupees for any subsequent offence.
Dt. of Renewal
Dt. of Expiry
Signature of licensing authority with Designation.

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