Form of application for license as a dealer in high speed Diesel

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1.applicant's name and address

2.The name of the oil company appointing the dealer.

3.Applicant's place of business.

4.How long the applicant dealing in High speed Diesel.

5.Quantity of High speed Diesel handled by the applicant during the preceding year(quantity be specified in KL).

    I declare that the following quantities of high nspeed diesel for sale are in my possession this day and  are held

at places noted against them.

Name of place

Stocks

Quantity

    I hereby certify that to the best of my knowledge the particulars given in this application are true and correct.

Place

Date                                                                           Signature of the applicant

                                               FORM III

                                             (See clause 6)

                      Form of consumer cards for sale of High speed Diesel

                                                                                                card No.........                     

Name and address of the dealer of the concerned Oil companies                          

Name of the consumer with Registration certificate No.of the Vehicle

Monthly quota of high speed Diesel to be supplied by the dealer.

Date of Issue of   Signature of the  Signature of the   Designation and  Signature of the

 the card             Dealer                consumer           issuing  Authority

                                                                                                                Details ofsales

                                                                                                                quantity sold

     Date                                                                             Signature of the Dealer

                                                                                       [No. 56465-PL-IC-47/79] 

                                                                                      By order of the Governor

                                                                                           R.M. SENAPATI

                                                                                 Addl. secretary to Government