Form No.1.B APPLICATION FOR A LICENSE TO MANUFACTURE/SALE COMMERCIAL SILK WORM SEED 1. Name of the applicant : 2. Educational qualifications : 3. Technical qualifications : 4. Fathers Name : 5. SC/ST/BC/Others (Specify Caste) : 6. Full Address : 7. Whether letter of intent given, if so, No & date : 8. Production capacity for which letter of intent given : 9. Type of silk worm seed be produced : 10. Area of operation : 11. Experience in grainage, if any : 12. Experience in agriculture. : 13. Is the application for renewal or for issue of fresh license (if for renewal, mention previous license number and date of expiry) : 14. Amount of license fee remitted with challan number and date (original challan to be enclosed) : 15. Whether a bond executed accepting norms prescribed in G.O.Ms.NO. 332 Ind &.Com (SP&S) Dept, dt. 16-7-1987, G.O. Ms.NO.401, Food and Agriculture (APC) Dept, Dt.18-6-1990. : Place: Date: Signature of the applicant. For office use: Remarks of recommending officer: Date of inspection: Observations of issuing authority: Signature with seal, Name of issuing authority Designation. For use by licensing authority 1. License granted 2. License renewed 3. License rejected. PLACE: Date: Signature with seal Name Designation
