FORM-I The Tamil Nadu Kerosene (Regulation of Trade) Order, 1973 Form of Application for licence as a wholesaler in kerosene 1 Applicant's name and address 2 Applicant's place of business 3 How long the applicant has been trading in kerosene 4 Quantity of kerosene handled annually by the applicant during the proceeding three years (Qty to be specified in litres) I declare that the following quantities of kerosene are in my possession this day and are held at the places noted against them:- Name of place : Stocks : Variety : Quantity (in litres) : I hereby certify that to the best of my knowledge the particulars given in this application are true and correct. Station Date Signature of the applicant