पोर्टल पर उपलब्ध सेवाओं के फॉर्म



आवेदन-पत्र
34.16 विक्रेता अनुज्ञप्ति के नवीनीकरण के लिये आवेदन
1. Beneficiary Aadhar No.
2. License Required For *
3. Name of the establishment/shop/person seeking the license *
4. Dealer’s License Number *
District *
5. Date of establishment (DD/MM/YYYY) *
6. Is limited company *
7. Name (s) and address (s) along with their father’s/ husband’s name of proprietor (s) and / or Partners and Managing Director (s)
अध्यतन करने हेतु विकल्प हटाने हेतु विकल्प सं. क्र. (i) Type (ii) Name (iii) Father/ husband name (iv) Address
(i) Type *
(ii) Name *
(iii) Father/ husband name *
(iv) Address *
8. Issued date of license (DD/MM/YYYY) *
9. Old licence valid from (DD/MM/YYYY) *
10. Old licence valid to (DD/MM/YYYY) *
11. Renewal from (DD/MM/YYYY) *
12. Renewal to (DD/MM/YYYY) *
13. Renewal for the number of year(s) *
14. Current registration number of shop/establishment/Municipal Trade licence *
15. Date of shop/ establishment/Municipal Trade licence (DD/MM/YYYY) *
16. Complete address of the establishment *

Max Length 240 characters

17. Details of weights and measures sold at present
(i) Weight *

Max Length 240 characters

(ii) Measure *

Max Length 240 characters

18. Professional Tax Number
19. Income Tax
20. GST Number
21. Are you intending to import weights and measures from places outside the State/Country
22. Sources of supply from the State/ Country
23. Details of manufacturer’s trade mark/monogram
24. Manufacturer’s license number
25. Please give details with particulars of stamping

Max Length 240 characters

Registration No. of previously issued license (If any)
26. Bank Details
(i) Bank account number
(ii) IFSC Code
(iii) Bank name
(iv) Branch name
27. मैं अपने प्रमाण-पत्र को अपने डिजिटल लॉकर में रखने की सहमति प्रदान करता हूँ। (असहमति के लिये अनटिक करें)
(यह सहमति/असहमति आवेदक से पूछ कर आवश्यक रूप से अपडेट की जाय)
Certified that I/ We have read the Legal Metrology Act, 2009 and the Madhya Pradesh Legal Metrology Rules, 2011 and agree to abide by the same and also the administrative orders and instructions issued or to be issued thereunder.

All the information furnished abou=ve is true to the best of my/our knowledge.
आवश्यक दस्तावेज (आवेदक द्वारा स्वप्रमाणित) :

दिनांक :
स्थान :

(हस्ताक्षर)

आवेदक का नाम



Source: https://mpedistrict.gov.in Thursday, October 31, 2024 3:16 PM