Food Grain License Form - 0

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From “ B |”

APPLICATION FOR GRANT OF FOOD GRAIN LICENSE UNDER PAKISTAN


FOODGRAINS (LICENCESING CONTROL ORDER 1957.

1- Name with present Full address of applicant --------------------------------------------

2- NIC No ----------------------------------------------------------------------------------------

3- Name of Firm/Shop Detail of Partner if any with evidence--------------------------------------

-----------------------------------------------------------------------------------------

4- Place of Business with document ---------------------------------------------------------

5- Nature of Foodgrains being dealt with intend ledone---------------------------------------------

-----------------------------------------------------------------------------------------

6- Previous Experience if any with documents.---------------------------------------------

7- Place of storage Godowns it otherwise to Sr No----------------------------------------

8- In case of property the Registration deed to be produced if rent agreement Attached-------

--------------------------------------------------------------------------------

9- Nation Income Tax No.---------------------------------------------------------------------

10- Amount of Tax paid for the lass -----------------------------------------------------------

I have carefully read the condition of license given in form “A” schedule 11appendix
the Pakistan Foodgrains (Licensing Control) order, 1957 and we herby to abide by them. I
herby declared that we have neither applied for Foodgrains Licens nor obtained license prior to
this in my our name.

Signature of Proprietor/ partner


Name of Mandi Incharge
Official deputed for verification.

District Food Controller-II


Lahore.

Certified that Licensing Fee Rs.--------------------- has been deposited into the government

Treasury wide Treasury challan No.------------------ dated --------------------- and licence No.------

-------------------- valid up to --------------------------is issued.

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