Form Of Application To Obtain Dealer'S Licence
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1
2FORM-A
(See clause 4)
FORM OF APPLICATION TO OBTAIN DEALER’S LICENCE
To
The Registering Authority,
_________________(place)
State of /U.T. of
1.
Full name and address of the applicant:
(a)
Name and postal address;
(b)
Place of business (Please give exact address):
(i)
for sale
(ii)
for storage
2.
Is it a proprietary/ partnership/Limited company/Hindu undivided family concern?
Give the Name(s) and address(es) of proprietor/partner/Manager/Karta.
3.
In what capacity this application is made:
(i)
Proprietor
(ii)
Partner
(iii)
Manager
(iv)
Karta
4.
Was the applicant ever convicted under the Essential Commodities Act, 1955 (10 of
1953), or any order issued thereunder during the last three years preceding the date of
application ? If so, give details.
5.
Give the details of seeds to be handled.
Sr.No.
Name of Seed
6.
I/we have deposited the licence fee of rupees fifty vide Challan No.____________
Dated_____________________in treasury/ Bank________________________
7.
Declaration :
(a)
I/we declare that the information given above is true to the best of my/our
knowledge and belief and no part thereof is false.
(b)
I/we have carefully read the terms and conditions of the licence given in Form
‘B’ appended to the Seeds (Control) Order, 1983, and agree to abide by them.
Signature of the applicant
Date:_________________
Place:________________
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