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বীজ ব্যবসার জন্য সরকারী অনুমতি পত্রের দরখাস্ত |
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FROM 'A' |
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(See clause 4) |
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FORM OF APPLICATION TO OBTAIN DEALER'S LICENCE |
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To |
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The Registering Authority |
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.................................................. (Place) |
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State of / U.T. of |
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1. Full name and address of the applicant |
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(a) Name and postal address: |
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(b) Place of business (please give exact address) |
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(i) for sale |
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(ii) for storage |
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2. Is it a proprietory / partnership / Limited Company / Hindu undivided family concern ? Give the name (s) and address (es) of proprietor / partner / Manager / Karta. |
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3. In what capacity this application is made(i) Proprietor(ii) Partner(iii) Manager(iv) Karta |
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4. Was the applicant ever convicted under the Essential Commodities Act, 1955 (10 of 1955) or any order issued thereunder during the last three years proceeding the date of application ? If so, give details. |
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5. Give the details of seeds to be handled.
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6. I / We have deposited the licence fee of rupees fifty vide |
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Challan No .........................dated ............................ in treasury / bank.......................................... |
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7. Declaration: |
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(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. |
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(b) I / We carefully read the terms and conditions of the licence given in From 'B' appended to the |
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Seeds (Control) Order, 1983 and agree to abide by them. |
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Date : Signature of Applicant |
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Place : |
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Note: (1) Where the business of selling / exporting / importing seeds is intended to be carried on at more than one place, a separate licence should be obtained for each such place. |
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For use in the office of Licensing Authority |
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Date of receipt : |
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Name and designation of officer receiving the application. |