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Supporting documents Format
FORM II
Gist of Firm
Letter of authority to sign PC
Reponsible Person & Chemist Details
Consent letter of Medical officer
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License Holder
Department
Documents Required For Filling Licence
Apply License for Stockist / Retailer
Applicant Details
Receipts Head Code : 0401 00 107 AA 22722
Aadhaar Number
Applicant Name
Father Name
Mobile Number
GST Number
License Type
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Stockist
Retailer
Town/Rural
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Town
Rural
Email ID
Retailer Shop Name
Status of Firm
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Partnership
Proprietorship
Whether applicant is legally responsible person
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Yes
No
Whether applicant is Technical Person
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Yes
No
Details Of Person Responsible :
Name of the Person
Father's Name
Designation
Mobile number
Qualification details
Technical Person Name
Qualification
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Graduate Degree in Agricultural Sciences
Graduate Degree in Biochemistry
Graduate Degree in Biotechnology science with chemistry
Graduate Degree in Life Sciences
Graduate Degree in Science with Chmistry or Botany or Zoology
One Year diploma course in Agriculture or Horticulture
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