Application for a licence to manufacture food for sale
I/We...................................................of.......................................................hereby apply for (renewal of) a licence to manufacture 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........................................................................,Corporation/Municipality/Panchayat .........................................., Ward No................Door No. .................
Boundaries—
East— South—
West— 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
The information furnished above is true to the best of my/our knowledge.
Date— Signature.