Application Form For New Seed Dealer License For District

APPLICANTS DETAIL

Contact Person Name *

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Applicant Photo(Image size should be greater than 20KB and less than 250KB)

Father's Name *

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Mobile Number *

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Contact Phone Number *

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E-Mail *

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District *

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Block *

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GP *

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Village *

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Aadhar Number

PAN Number *

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GSTIN No *

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FIRM DETAILS

Name Of The Firm *

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Firm Type *

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District *

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Block *

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Address *

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Pincode

STORAGE DETAILS

Enter Storage Detail Information

Address *

Mobile Number *

District *

Block *

PIN *

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Submitting At District

PROFORMA-I ( List of Seed Kind / Varieties to be Produced and Marketed )

Name of Crop *

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Name of Variety Proposed

PROFORMA-VII ( Annual Marketing Plan For the Year )

Annual Marketing Plan

District *

Name of Crop *

Name of Variety *

Quantity To Be Sold *

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DECLARATION

Declaration

I also do hereby undertake that the information & Documents given by me are true to the best of my Knowledge and belief.

I Agree *