EMBLEM FORM 'I' [ See Clause 23 (1)(b)] Book No. ............................ Date of issue ............................ Valid up to ........................... Authorisation for the sale of non-standard fertilisers M/s. ............................................. is/are hereby permitted to sell the nonstandard fertilisers described below subject to the terms and conditions noted here under: Particulars of non-standard fertilisers: (1) Name of the fertiliser: (2) Detailed chemical specifications including the nutrient content, (3) Nature and appearance of the non-standard fertiliser. (4) Place of location of the non-standard fertiliser. Terms and conditions. (1) The seller of the non-standard fertiliser described above shall comply with the provisions of sub-clause (a) of Clause 23 of the Fertilisers (Control) Order, 1985. (2) The non-standard fertiliser described above shall be sold at a price not exceeding ................................... per metric ton or .................... per bag of ................kgs. (3) The non-standard fertiliser described above shall be sold before the expiry of the validity period mentioned above or before the expiry of the extended period, if any. Registration Authority State of ....................... Date : Place :