FORM M* (See Clause 5) FORM FOR CASH/CREDIT MEMORANDUM TO BE ISSUED BY THE DEALER/MANUFACTURER/IMPORTER/POOL HANDLING AGENCY TO THE PURCHASER OF FERTILISERS ST/CST No. ................................ Sl. No. ................................. Date: .................................... Certificate of Registration No. : .......................................................... Name and Address of Firm : ........................... ................................. Name and Address of Purchaser : ..................................................... Sl. No. (1) Name of fertiliser and Brand Name (2) Number of bags (3) Batch number (Wherever applicable) (4) Quantity (5) Rate (6) Amount (7) 1. 2. 3. 4. Total : ST/CST @ ______________ G. Total ______________ Signature of purchaser Signature of dealer, etc. * Form introduced vide S.O. 261 (E) dt. 16.4.1991.