1. Applicant's Name2. Applicant's Profession3. Applicant's Residence4. Situation of applicant's place or places of business with particulars as to number of house, mohalla, town or village, police station and district. 5.How long the applicant has been trading in sugar?6.Did the applicant held a sugar license on any previous occasion? (If so, give particulars including its suspension or cancellation , if any) 7.Quantities of sugar handled annually during the last three years (November-October). Give the details.8.Income tax paid in the two years preceding the year of application (to be indicated separately). (1) (2) 9.Quantity of sugar in the possession of the applicant on the date of application and the places at which different quantities are kept . I declare that the quantities of sugar specified above are in my possession this day and are held at the The Orissa Sugar Dealers' Licensing Order, 1963APPLICATION FOR SUGAR DEALER'S LICENSE Yearsplaces noted against them. YES NORs. Rs. ex., for 10 years or for 15 years(DD/MM/YYYY) Published on National Portal of India (india.gov.in) Government of OrissaIndustries Department (Strike the clauses not applicable)Place:- I have carefully read the conditions of licence given in Form B appended to the Orissa Sugar Dealers' Licensing Order, 1963 and I agree to abide by them - (a) I have not previously applied for a licence in this district under this order. (b) I have applied for a licence in this district for Dated(c) I hereby apply for renewal of Licence No.Date :- Signature of the applicant and was not granted a licence onon Published on National Portal of India (india.gov.in)