FORM NO-1

APPLICATION FOR A LICENCE TO MANUFACTURE FOOD FOR SALE

I/We ..................................................of..............................................................................
hereby apply for (renewal of) a licence to manufacture for the following
category/categories of food for sale on the premises situated at................................
(Here enter category/categories of food)
2. The details of the premises are:-
District.................................Taluk.......................................Village....................................
No.......................................................
Boundaries:-
East
West
South
North
3. My/Our sales Tax registration number for the current year
is.............................................................................................................................................
I am / We are not registered under the General Sales Tax Act.
4. I/We have remitted the prescribed fee of Rs.................................................
towards licence fee to the local authority on..................................................................
under receipt No.
1. The information furnished above is true to the best of my/our knowledge
and belief.

Date............................... Signature