(FORM-VII) (See Rule 10(i)) APPLICATION FOR RENEWAL OF LICENCE TO SELL, STOCK OR EXHIBIT FOR SALE OR DISTRIBUTE INSECTICIDES To The Licensing Authority, State of.... I/We hereby apply for renewal of the licence to sell, stock or exhibit for sale or distribute insecticides under the name and style of .........The licence desired to be renewed was granted by Licencing Authority for the State or ......and allotted licence No......on the day of.......2000. The situation of the applicant's premises where the insecticides are/will be:- (a) Stored and (b) sold (i) I/We hereby declare that the situation of my/our premises where the insecticides are stored, and (b) sold, as stated below: (a) (b) Premises where insecticides are stored. Premises where insecticides are sold. (ii) The insecticides in which I/we am/are carrying on business and the name of the principals whom I/we represent are as stated below: Full name and address of the applicant in block letters............ Signature of the applicant(s) Place:.... Date...
