Application Form for Atta Chakki License TO THE LICENSING AUTHORITY Sir, I/We __________________________________________________________________ request that I/We may be granted license. My/our license No.________________________ Dated: _______________ 1. Applicant's Name and Address: ___________________________________________ 2. Place where the rice or flour mill is situated and name of Mill if any __________________ 3. Details of the power driven machinery for milling of Rice flour______________________ 4. Installed milling capacity per day_________________ 5. Quantity of paddy boiled or wheat crushed during each proceeding 3 years____________ 6. Kind of rice proceeded vis raw or boiled______________________________________ 7. Details of godown accommodation owned by mill, which are or would be used for storage of paddy or rice or flour_______________________________________________________ 8. Name and address of selling agent___________________________________________ 9. Name of Bank__________________________________________________________ I/We _______________________ declare that I/We am/are the proprietor /partner/Manager of the rice flourmill covered by this application. I/We have carefully read the Jammu & Kashmir Rice and Floor Mills (Licensing and Control) schedule and conditions of the License in form II schedule to the said order and we agree to abide by them. I/We enclose a treasury receipt of Rs.________ being the fee for the License/renewal of the License. PLACE: SIGNATURE OF THE APPLICANT DATED:
