THE ORISSA WHEAT AND WHEAT PRODUCTS CONTROL ORDER ,1988 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 previous occasion? (if so,give particulars including its suspension or cancelation ,if any) 6.Quantity of wheat and Wheat product handled annualy during the last three years. 7.Quantity of wheat and whaet likely tobe handled during the current year. 8.Income-tax paid in the two year preceding the year of application (to be indicated separately). (a) (b) 9. (a)Quantity of wheat and wheat products in the possession of the applicant on the date of application. (b) Complete address of places where wheat and wheat products are proposed to be stored. I declare that the quantities of wheat and wheat products specified above are in my possession this and are held at the places noted above. 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. *(b) I applied for such licence in this district for ..................................on................................ and was not granted a licence on ................................................. *(c) I hereby apply for renewal of licence No............................. Date................................. * strike off the items which are not applicable place................................ Signature of the Applicant date......................................
