FORM -VII (See Rule 10(1) Application for Renewal of the Licence to Sell, Stock or Exhibit for Sale or Distribute Insecticides To: The Licensing Authority. State of........................ I / We hereby apply for renewal of the licence to see, stock or exhibit for sale or distribute insecticides under the name and style of............................ The licence desired to be renewed was granted by the licensing Authority for the State of................................. and allotted licence No....................................on the .......................day of....................19 2. The Situation of the applicant's premises where the insecticides are/will be (a) stores and (b) sold i. I/we hereby declare that the situation of my/our premises where the insecticides are stores, and (b) sold, are stated below: a) b) Premises where insecticides are stored 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 in block letters Signature of the applicant(s) Date: Place:
