Application for a licence to sell, stock and exhibit for sale and distribute food
I/We.........................................................of............................................................ hereby apply for renewal of) a licence to sell, stock and exhibit for sale and distribute any wholesale/retail/other sale* of food on the premises situated at.................
2. The details of the premises arc:
District............................................Corporation/Municipality/Panchayat................................Ward No............................Door No. .........
Boundaries:
East— South—
West— North—
3. My/Our Sales Tax Registration No. for the current year is.............................. 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
5. The information furnished above is true to the best of my/our knowledge.
Date— Signature.
* ‘Other sale’ means sale by a dealer not registered under the General Sales Tax Act for the being in force. 8