APPLICATION FOR RATION PERMIT FOR CATERING ESTABLISHMENTS INSTITUTIONS AND RESIDENTIAL ESTABLISHMENTS (See Clause 33 (1) of the Kerala Rationing Order, 1966) (to be submitted in DUPLICATE) 1) Name of owner or person in charge : 2) Residence : 3) Name of establishment : 4) Kind of establishment : 5) Address of establishment with name and ward No., of : Panchayat/Municipality/Municipal Corporation/Township 6) Period for which the establishment has been running : 7) Average number of inmates or residents taking meals in the : premises per day during the last 6 months. 8) Average number of persons other than residents or inmates : taking meals in the premises per day during the last 6 months 9) Average number of persons other than residents or inmates tak ing meals to whom meals were sent out from the establishment per day during the last 6 months. 10) Average quantity of the rationed article or articles required for : the establishment per week during the last 6 months. 11) Quantity of the rationed article or articles in stock on the date : of application 12) Name & address of wholesale or retail dealer from whom or : manufacturing establishment or mill from which supplies of rationed articles are usually obtained 13) Quantity of any monthly allotment of any rationed article or : articles at present being received from the Government and details of such allotment D E C L A R A T I O N I, ____________________________________________ hereby solemnly declare that the information furnished above is correct to the best of my knowledge and belief. Place : Signature of Owner/Person in-charge Date : of esblishment WARNING - Any person who make any statement or furnish any information which is false in any material particular and which he knows or has a reasonable cause to believe to be false or does not believe to be true shall be punishable with imprisonment for a term which may extend to one year and with fine under Section 7 of the Essential Commodities Act 1955.
