FORM - VII (See Rule 10 (1)) APPLICATION FOR RENEWAL OF LICENCE TO SELL, STOCK OR EXHIBIT FOR SALE OR DISTRIBUTE INSECTICIDES To, The Licencing Authority, State of Pondicherry. I/We hereby apply for renewal of the licence to sell, stock or exhibit for sale or distribute insecticides under the name and style of ........................................................ ........................................................................The Licence desired to be renewed was granted by the Licencing authority for the state of .......................................................... ............................................ and allotted licence No. ............................... on the day ............................. of ..................................................................... . 2. The situation of the applicant's premises where the insecticides are/will be (a) stored and (b) sold (i) I/We hereby declare that the situation of my/our premises where the insecticides are stored, and (b) sold, as stated below (a) (b) Premises where insecticides are stored Premises where insecticides are sold (ii) The insecticides in which I/we am/are carrying on business and the name of the principals whom I/we represent are as stated below : Full name and address of the Applicant's in block letters. Date : Place : Signature of the Applicant(s)
