FORM III THE TAMIL NADU KEROSENE (REGULATION OF TRADE)ORDER 1973 Form of application for registration or renewal for registration as a retailer in kerosene 1 Applicant's name and address 2 Applicant's place of business (if a cartman area of his business) 3 The period for which the application has been trading in kerosene as a retail dealer 4 Quantity of kerosene handled by him per month on an average 5 Wholesaler/wholesalers from whom he gets his stocks of kerosene I hereby certify that to the best of my knowledge the particulars given in this application are true and correct. Station Date Signature of the applicant
