SCHEDULE –II

( See Clause 4 (3) )

TRIPURA HYDRO GENATED VEGETABLE OIL DEALER’S LICENSE ORDER 1967.

 

 
  1. Name in which license is required :-
  2. Name of persons having interest in
    business. :-
    Name :-                             Father’s Name :-               Home Address :-


  3. Situation of applicant’s place or places
    of business with particulars as to number
    of house, Mahalla, Town or Village,
    P.O. and District. :-
  4. How long the applicant has been
    trading in Hydrogenated vegetable oil :-
  5. Quantity of Hydrogenated vegetable
    oil likely to be handed during the current year :-
  6. Quantity of each variety of Hydrogenated
    vegetable oil handled during the last year. :-
  7. Number of Municipal license for dealing
    in Hydrogenated vegetable oil, if any :-
  8. Income-Tax paid in the proceeding two
    years of application ( to be indicated
    separately ) :-
  9. a) Quantity of Hydrogenated vegetable

    oil in the possession of the applicant on the

    date of application (separate figures to be

    given for each variety of Hydrogenated

    vegetable oil ) :-

    b) Complete address of place where

    Hydrogenated vegetable oil are proposed

    to be stored. :-

  10. Particulars of License, if any other
    Than that referred to item No. 7. :-

 

I/We declare that the quantity of Hydrogenated vegetable oil specified above in my/our possession this day and are held at the place noted above.

I/We have carefully read the provisions of license given in the Form B.C. appended to the Tripura Hydrogenated Vegetable oil Dealer’s License order, 1967 and I/We agree to abide by them.

I/We also declare that the information is true to the best of my/our knowledge and belief.

I/We hereby apply for renewal of license No.-

 

 

 

Place :-

Date :-                                                      Signature of the applicant