FORM NO. 2 THE ANDHRA PRADESH SILK WORM SEED AND COCOON (CONTROL) RULES 1983 (see rule 4(2)) Application for a licensing for establishment of reeling twisting units and purchase of silkworm cocoons. 1. Name of the applicant 2. Father's name 3. SC/ST/BC/Others(Specify caste) 4. Address 5. Educational qualifications 6. Description of premises in which reeling is proposed to be carried on. 7. Appliances employed for reeling/twisting a. Annual consumption (cottage/basin/filature) b. Annual production 8. Number of charkas/basins/spindles installed with years. 9. Cost of equipment and from when purchased 10. How long has the applicant been engaged in reeling/twisting. 11. Particulars regarding the volume of business done during the three years prior to the date of application. a) Financial inouts: i. Out of own funds ii. Out of loan with details iii. Out of subsidy if any availed iv Working capital a. Sanctioned by bank b. Own b) Labour employed (daily rate of wages): : : : Village Taluk District : : : : : : : : : i. Men SC/ST/BC/Others Daily rate of wage ii. Women iii. Boys/Girls 12. If the applicant is a silkworm rearer himself the approximate quantity of cocoons he produce in the year. : 13. Amount of license fee remitted with challan no. and date (original challan to be enclosed) : 14. In the case of applicant from outside the state license no and date of license already granted by Government concerned. Place: Date: Signature of applicant For office use Remarks of the recommending officer Date: Place: Signature Name: Designation: For use of the licensing authority 1. License granted. 2. License rejected. Signature of the licensing authority Date: Name: Place: Designation: