Meeseva Civil Supplies FP SHOP RENEWAL Application Form

Meeseva Civil Supplies FP SHOP RENEWAL Application Form

Download Meeseva Civil Supplies FP SHOP RENEWAL Application Form
The Civil Supplies FP SHOP RENEWAL Application Form will be like below download the form and fill all the details and attach required documents:

ANDHRA PRADESH STATE PUBLIC DISTRIBUTION CONTROL ORDER, 2001
APPLICATION FOR ISSUE OF AUTHORISATION TO RUN A FAIR PRICE SHOP
FP Shop Details:
Shop District: __________________________________
 FP Shop Dealer ID: ___________________________
FP shop Address: ______________________________________________________________________
FP Shop Dealer Details:
 Dealer Name (In Capital Letters): ________
Father/Mother Name: __________________
Caste: _________________________________________
Address: Door No: _____________ Locality/Landmark:
 Mandal: ______________________ District: __________________________ Pin cod
 Mobile Number: _____________

Whether he is physically handicapped (YES/No
Whether the applicant is connected with any other business run either by himself or by any
details____________________________________________________________
Whether any number of the applicant’s family has been issued authorization to fair price shop earl
________________________________________________________________
Whether any of his blood relations is working in revenue/CS Dept
_____________________________________
Village location, Door number, when the applicant wants to run fair price
_____________________________________________________________________________________
Whether he can raise the sufficient funds to run fair price shop with his own funds and if so give source or whether
institutional finance__________________________________________________
Whether he was convinced earlier for offence under central order issued by the State/Central under E.C
Act._________________________________________________________________________________
Amount, Challan number and date through which f
________________________________________________________________________________________________
I have carefully read the conditions of authorization under the Andhra
Distribution Control Order, 2001 and I agree to abide by them.
(a) I have not previously applied for such authorization in this district.
(b) I applied such authorization in this district on and was not granted.
(c) I hereby apply for renewal of authorization ……………………………………………………………
………………………………………………………………….which is enclosed.
(Strike of the Clauses not applicable)

Procedure (following to be enclosed

1) Application Form*
2) Copy of Authorization letter*
3) Latest renewed food grains and kerosene License*
4) PHC Certificate (Certificate is enclosed in case he is physically handicapped).