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Application for Licence in form M-I

for possession and sale of molasses by a producer of molasses

 

(a) Name and address of the applicant    _____________________________________________
(b) Name of sugar / gur factory     _____________________________________________
(c) exact location of the sugar / gur factory, and the name of the village, taluka and district in which the such factory is situtated   _____________________________________________
(d) Whether the applicant is the owner or a person in charge of the factory    _____________________________________________
(e) (i) Details of the use or uses which molasses will be put to

(ii) Quantity required annually for each of such uses

  _____________________________________________
(e) whether the applicant is in arrears of any excise duty or any other government dues such as sales tax, income tax, etc   _____________________________________________
(f) Details of arrangements for the storage of molasses whether pucca built tanks or steel tanks are provided for the storage    _____________________________________________
(g) period for which the licence is required    _____________________________________________
(h) total quantity of molasses expected to be produced during the year   _____________________________________________
(i) Challan Rs 10/-   _____________________________________________

 

 

                                                                                                                                                                              

Signature of applicant

 

Date

Place 

To,

   The Collector 

   (State Excise Deparmtent

 

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