FORM A [SEE RULE 102-(i) ] APPLICATION FORM FOR LICENSE FOR AGRICULTURE TRADING,IMPORTING AND MARKETING To The Secretary, Market Committee. Sir, The particulars of my business are given below : 1. Name of the applicant with full address.............................................. 2. Place of business for which licence is applied for (give the name or number of the building and the name or number of street or other description sufficient to identify the premises)............................................................... 3. If the applicant is a firm, is it a Hindu-Joint-family Firm, or otherwise constituted and has it been registered or not ?................................................. 4. If the applicant is a firm, give the name of all persons constituting the firm with parentage, residence and address.......................................................... S.No. Name Father's/Husband's Name Full Address 123 4 5. Name of the Managing proprietor or Manager of the Firm........................................................................... 6. Name of other trade Assistants of the applicant Firm............................................................................... 7. Name and style under which the applicant will work............................................................................. 8. Has the applicant or, where the applicant is a firm, has any member thereof, single or in collaboration with any body else been granted a dealer's licence in any market area in the state of J&K and has such licence been suspended or cancelled ? If so, when for what period and for what reasons ?................. 9. Category of licence applied for : (1) A(4) D (2) B(5) E (3) C(6) F 10. Has the applicant or any of his partners been declared insolvent in the past ? If so, has the insolvency been discharged ?......................... 11. Has the applicant or any partners been convicted of any offences relating to his business in the past two years ? If so, nature of offence and the punishment awarded. ........................................................................................................................... Certified that the facts set out in the application are true to best of my knowledge. I undertake to abide by the provision of the J&K Agricultural produce Marketing ( Regulation ) Act, 1997 and the rules and Bye-Laws and conditions of the licence made thereunder : I shall be responsible for all acts of my employees. It is requested that a licence of category-----may kindly be granted to me Signature of the Applicant.
