Meeseva Renewal of Licensing and regulation of Supplies of Kerosene Products
Download here Renewal of Licensing and regulation of Supplies of Kerosene Products Application Form.
The Renewal of Licensing and regulation of Supplies of Kerosene Products Application Form will be like below download the form and fill all the details and attach required documents:
RENEWAL OF LICENSING AND REGULATION OF SUPPLIES OF KEROSENE PRODUCTS
Occupant Details
AADHAR Card No: ____________________ Applicant name*:______________________________
Relation Name*: __________________________ Profession*: ___________________________
Is SC/ ST / Physically Challenged*: Yes No House No*: _________________________
Street*:______________________ District*: _________________________________
Mandal*: _____________________ Village/Ward*: _______________________________
Pin Code*: ________________
Business / Service specific details
Firm Name*: ____________________________________ House No*: __________________
Street*:_____________________________ District*:_______________________________
Mandal*:_______________________________ Village / Ward *:__________________________________
Police Station*: ______________________________
Quantity of petroleum products likely to be handled during the current year (KLs): ____________________
Quantity of Petroleum products in the possession (KLs): ___________________________________
Go down/Storage address*: ______________________________________________________
No. of Years to be renewed*(yrs): __________
Renewal Details :-
Old License No*: ________________ Old License Issued Date*: ______________________
Old License Expiry Date*: ______________ Period of trading in petroleum products*(yrs): __________
Quantity of Petroleum products handled annually during the last (3) years*(KLs): _______________________
Income tax paid in the two years proceedings*(Rs.) ______________ File No*: __________________
Informant Details:
Informant Name*: _______________________ Relation with applicant*: ________________
Mobile No*: _________________________ Delivery Type*: Manual Local post Non Local post
Documents List:
(NOTE: 1.Total size of Upload Document should not exceed 3 MB.2.All Upload Documents should be in PDF Format Only)
1. Application Form*
2. Valid Explosive License*
3. Existing License *
Applicant’s Signature