FORM - B1
Application for the issue of Special Licence to Acquire Rubber for Processing & for Selling Rubber Acquired
1.
LICENCE DETAILS
Application No
Application Date
Name of the Applicant
Name of the Unit/Firm/Company
Licence Year
Select
Note : Licence will be issued in this name
Note : Year for which Application is to be considered
2.
APPLICANT DETAILS
Full Address of the Applicant
Address
City
State
Select
District
Select
Pincode
Phone No
Mobile No
Email
Fax No
OWNERSHIP OF THE FIRM
3.
Constitution Details
Constitution Type
Select
Proprietorship
PartnerShip
Private Limited Company
Public Limited Company
Co-operative Society
4.
Details in Respect of the Owner / Each Partner for Partnership
Note :
Click the Plus button to add more Rows
Unselect the Checkbox to Remove the Unwanted Rows
5.
PROCESSING DETAILS
Address in Full of the Location of the Processing Unit
Note : Enter the Main Processing Address as First Entry
Note :
Click the Plus button to add more Rows
Unselect the Checkbox to Remove the Unwanted Rows
6.
STORAGE DETAILS
Address in Full of the Place of Storage
Note :
Click the Plus button to add more Rows
Unselect the Checkbox to Remove the Unwanted Rows
OTHER DETAILS
7.
Licence Details
Have you been a licenced Dealer or Manufacturer under the Rubber Act.1947 (24 of 1947)
Yes
No
The Date from which you are Processing Rubber
Dealing Date
8.
Are you doing or Proposing to do any Business other than Processing Rubber
Give Details
9.
Invested Capital or Financial Standing of the Firm
Invested Capital
10.
What is the Proposed Capacity or Installed Capacity of the Processing Unit in Kgs
Capacity per day
No of Days Basis
Proposed Quantity
11.
What is the Source of Supply of Raw Materials
Source of Supply of Raw Materials
12.
State Whether you are Proposing to import the Machinery or Fabricate the same indigenously
Machinery Details
13.
What Arrangements have you made for the Necessary Technical Know How
Technical Arrangement
14.
What arrangements have you made for Technical Specification as per Standards of the Bureau of Indian Standards
BIS Arrangement
15.
What was the Total Quantity of Rubber Acquired, Processed and Sold
by you during the Previous Five Years ?
(If accurate figures are not available approximate figures may be given)
Validity Details
Valid From Date
Valid Till Date
License Amount Fetch Page
Payment Details
Advance Amount Available
Data Not Available
Type
Amount To Pay
Amount Paid
Bal Amount to Pay
Total
Excess Amount Available :
0.00
Advance Deposit Available :
0.00
List of Documents to be enclosed
(i).
PAN CARD
(ii).
Proof of payment of fee
(iii).
Partnership Deed / Certificate of Incorporation & Memorandum and Articles of Association of the Company / Bye-law of the Society
(iv).
Project Report in respect of the processing unit
(v).
Documentary evidence as to the source of finance
(vi).
Consent Letter issued by the State Pollution Control Board
Place
:
Date
:
CREATION DETAILS
Creation Date
Remarks
User Creation Details
Login Details
User Type
Proessor
Application-No (User-ID)
Corporate Name
Contact Person/Name
Address
City
Pincode
State
Select
District
Select
Land Phone
Mobile
Email
Password
Repeat Password
Secret Question
Select the Question
What is your Pet Name?
What is your First School?
Who is your most Important Personality?
Secret Answer
Date
Place