THE ORISSA WHEAT AND WHEAT PRODUCTS CONTROL ORDER ,1988

                                        Application for Grant/Renewal of Licence

     1.Applicant's name

     2.Applicant's profession

     3.Applicant's residence

     4.Detail of place where applicant wants to

        act as retailer or wholesaler.

     5.Did the applicant hold a licence on any

        previous occasion? (if so,give particulars

        including its suspension or cancelation ,if any)

     6.Quantity of wheat and Wheat product

        handled annualy during the last three years.

    7.Quantity of wheat and whaet likely tobe handled

       during the current year.

    8.Income-tax paid in the two year preceding the year

      of application (to be indicated separately).

    (a)

    (b)

  9. (a)Quantity of wheat and wheat products in the

          possession of the applicant on the date of

         application.

     (b) Complete address  of places where wheat and

          wheat products are proposed to be stored.

            I declare  that the quantities of wheat and wheat products specified above are in my possession

     this and are held at the places noted above.

           I  have carefully read the conditions of licence given in form 'B' appended to the orissa  Wheat

  and Wheat products control order 1988 and  I agree to abide by them.      

           *(a) I have not previously applied for such licence in this district for wheat products.

             *(b) I applied for such licence in this district for ..................................on................................

                     and  was not  granted a licence on .................................................

              *(c) I hereby apply for renewal of licence  No............................. Date.................................

                                              * strike off the items which are not  applicable

     place................................

                                                                       Signature   of the Applicant                date......................................