FORM 'E' (Under section 5(a) of the Andhra Pradesh Cotton Seeds (Regulation of supply, Distribution, Sale and Fixation of Sale Price) Act, 2007 and rule 17(I) of the Andhra Pradesh Cotton Seeds (Regulation of supply, Distribution, Sale and Fixation of Sale Price) Rules, 2007) FORM OF APPLICATION TO RENEW CERTIFICATE OF REGISTRATION AT DISTRICT LEVEL To The Registering Authority .............. .............. I/We hereby apply for renewal of the Certificate of Registration to carry on the business of dealer in cotton seeds at district level under the name and style of Shri /M/s........... . . . . . . . . . The Certificate of Registration, desired to be renewed, was granted by the Registering Authority for the district of ...... . . . . . . . . . and allotted Certificate of Registration No..... on the ...... day of....... I/We have remitted the renewal fee of rupees five hundred vide Challan No...... Dated....... in treasury/bank .......... Date Place Signature of Applicant(s) Full name and address of the Applicant(s)