पोर्टल पर उपलब्ध सेवाओं के फॉर्म



आवेदन-पत्र
13.1(B) रासायनिक कीटनाशक विक्रय लायसेन्स जारी करना(नवीन संशोधित)
FORM - II
GRANT OF LICENCE TO SELL, STOCK OR EXHIBIT FOR SALE OR DISTRIBUTE INSECTICIDES
[See sub-rules (1) of rule 10]
1. (a) Name of the Applicant *
(b) Address of Applicant
*

Max Length 240 characters

(c) e-mail
*
2. Whether the application is for *
3.Complete address (including name of the lane, PIN Code, etc.) of the premises, where the insecticide(s) shall be
(a) Stored/Stocked
*

Max Length 180 characters

(b)Sold or exhibited for sale operations:
*

Max Length 240 characters

(c) Whether any of the above premises is situated in residential area(if yes then, undertaking need to be Attached)
*
(d) Whether food articles are also stored in any of the above premises (if yes then, undertaking need to be Attached)
*

दिनांक :
स्थान :

(हस्ताक्षर)

आवेदक का नाम



Source: https://mpedistrict.gov.in Saturday, May 18, 2024 2:44 PM