Application for Grant/Renewal of Licence 1. Applicant's name 2. Applicant's profession 3. Applicant's residence 4. Detail of place where applicant wants to act as retailer or wholesaler. 5. Did the applicant hold a licence on any including its suspension or cancelation ,if any) 6.Quantity of wheat and wheat product handled annualy during the last three years. Details? 7.Quantity of wheat and wheat products likely to be handledduring the current year. Details? 8.Income-tax paid in the two year preceeding the year separately). Specify the year. of application (to be indicated (a) (b) 9. (a)Quantity of wheat and wheat products with details in the possession of the applicant on the date of application. previous occasion? (if so,give particulars (b) Complete address of places where wheat and wheat products are proposed to be stored. APPLICATION FOR GRANT OR RENEWAL OF LICENSE OF WHEAT DEALER THE ORISSA WHEAT AND WHEAT PRODUCTS CONTROL ORDER ,1988 Food Supplies & Consumer Welfare DepartmentGovernment of OrissaYESNO Published on National Portal of India (india.gov.in) knowledge and thses are held at the places noted above possession I have carefully read the conditions of licence given in form 'B' appended to the orissa Wheat and Wheat products control order 1988 and I agree to abide by them. (a) I have not previously applied for such licence in this district for wheat products. Strike off the items which are not applicable I declare that the quantities of wheat and wheat products specified above are in my Signature of the ApplicantDatePlace(b) I applied for such licence in this district foronand was not granted a licence on(c) I hereby apply for renewal of licence No Published on National Portal of India (india.gov.in)