Application for License under the Fruit

Products Order, 1955

1. Name and address of the applicant.

1(a) Name of the managing director, directors, proprietors, partners, etc.

2. Address of the factory/firm.

2 (a) Address of godown/stores of finished products.

3.Description of the fruit products, which the applicant wishes to manufacture/reliable. *

4.Period for which license is required:

5. Plan of the factory and list of equipments: -

6. (a) whether any power is used in manufacture of fruit products. If so, state the exact
horsepower used:

(b) Installed capacity per 8 hour shift*

7. License fee paid during the previous year:

8. Total value of Fruit Product Manufactured/relabeled* during the previous year:

9. I/We hereby undertake to comply with all the provisions of the fruit products of the
Fruit Products Order, 1955.

10. I/We have forwarded a sum of Rupees in respect of the license

fee due according to the provisions of Fruit Products Order, 1955.
Signature(s) of the applicant (s)