সার ব্যবসার জন্য সরকারী অনুমতি পত্রের দরখাস্ত


সার ব্যবসার জন্য সরকারী অনুমতি পত্রের দরখাস্ত


EMBLEM
FORM "D"
[See clause 14(2) (a) & 18(1)]

FORM OF APPLICATION TO OBTAIN A CERTIFICATE OF MANUFACTURE OF PHYSICAL / GRANULATED MIXTURE OF FERTILISERS (S.O. 354 (E) dated June 3, 1993) / RENEWAL

To,
The Registering Authority
Place ...............................
State of ............................

(1) Full Name and address of the applicant:
(2) Dose the applicant possess the qualification prescribed by the State Government under sub-clause (1) of clause 14 of the Fertiliser (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 will be prepared;
(5)Full particulars regarding specifications** of the physical / granulated mixture of fertilisers /* 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 fertilisers /*mixture of micronutrient fertilisers?
(8) Quantities of each physical / granulated mixture of fertilisers /*mixture of micronutrient fertilisers (in tonnes) 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 mixtures of fertilisers, give all particulars of such mixtures handled, the period and the place(s) at which the mixing of fertilisers was done;
(ii) Also give quantities of physical / granulated fertiliser mixture handled during the past calendar year;
(10) If the application is for renewal, indicate briefly why the original certificate could not be acted on within the period of its validity.
(11) I have deposited the prescribed registration certificate fee / renewal fee.

Declaration
(a) I /we declare that the information given above is true and correct 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 certificate of manufacture given in Form F appended to the Fertiliser (Control) Order, 1985 and agree to abide by them.
(c) I /we declare that the physical / granulated mixture for which certificate of manufacture is applied for shall be prepared by me / us or by a person having such qualifications as may be prescribed by the State Government from time to time or by any other person under my / our direction, supervision and control or under the direction, supervision and control of person having the said qualifications.
***(d) I /we declare that the requisite laboratory facility specified by the Controller, under this Order is possessed by me / us.



Name and address of applicant in block letters	Signature of the applicant(s)


Date:
Place:

* Amended vide S.O.725 (E) dt.28.07.88
** Vide S.O. 49(E) dt.16.01.03
*** Vide S.O. 261 (E) dt.16.04.91

সার ব্যবসার জন্য সরকারী অনুমতি পত্রের দরখাস্ত

EMBLEM

FORM "D"

[See clause 14(2) (a) & 18(1)]

FORM OF APPLICATION TO OBTAIN A CERTIFICATE OF MANUFACTURE OF PHYSICAL / GRANULATED MIXTURE OF FERTILISERS (S.O. 354 (E) dated June 3, 1993) / RENEWAL

To,

The Registering Authority

Place ...............................

State of ............................

(1) Full Name and address of the applicant:

(2) Dose the applicant possess the qualification prescribed by the State Government under sub-clause (1) of clause 14 of the Fertiliser (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 will be prepared;

(5)Full particulars regarding specifications** of the physical / granulated mixture of fertilisers /* 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 fertilisers /*mixture of micronutrient fertilisers?

(8) Quantities of each physical / granulated mixture of fertilisers /*mixture of micronutrient fertilisers (in tonnes) 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 mixtures of fertilisers, give all particulars of such mixtures handled, the period and the place(s) at which the mixing of fertilisers was done;

(ii) Also give quantities of physical / granulated fertiliser mixture handled during the past calendar year;

(10) If the application is for renewal, indicate briefly why the original certificate could not be acted on within the period of its validity.

(11) I have deposited the prescribed registration certificate fee / renewal fee.

Declaration

(a) I /we declare that the information given above is true and correct 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 certificate of manufacture given in Form F appended to the Fertiliser (Control) Order, 1985 and agree to abide by them.

***(d) I /we declare that the requisite laboratory facility specified by the Controller, under this Order is possessed by me / us.

Name and address of applicant in block letters

Signature of the applicant(s)

Date:

Place:

* Amended vide S.O.725 (E) dt.28.07.88

** Vide S.O. 49(E) dt.16.01.03

*** Vide S.O. 261 (E) dt.16.04.91