1. Applicant's Name Father's Name 2.Applicant's profession 3.Applicant's address (a) Permanent (b) Present 4. Situation of applicant's place of business with particulars as to number of houses, mahalla, town or village, police-station and district. 5. How long has the applicant been trading in pulses, edible oil-seeds and edible oils including Vanaspati. Explain it in details? 6. Income Tax, if any, paid in the two years preceding the year of application (to be indicated separately in case of wholesalers only) 7. Complete address of places where the commodities are/is proposed to be stored.8. I have carefully read the conditions of the licence given in Form B appended to the Orissa Pulses, Edible Oil-seeds and Edible Oil Dealers' (Licensing) order,1977 and I agree to abide by them9. I hereby apply for renewal of licence No.Place Date Signature of the Applicant The Orissa Pulses, Edible Oil-seeds and Edible Oils Dealers' (Licensing) Order,1977 (See clause 4 (1) ) FORM-'A' 1st Year2nd YearApplication for Grant/Renewal of Edible Oil License Food Supplies & Consumer Welfare DepartmentGovernment of Orissa Published on National Portal of India (india.gov.in)
