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"Form O" No.001 Certificate of Source For Carrying On The Business of Selling Fertilizers in Wholesale/retail

This certificate of source details: 1) The issuing concern - Advance Farmer (I) Pvt Ltd, a manufacturer and wholesale dealer of fertilizers in Karnataka 2) The recipient - XYZ Traders Karnataka, a wholesale dealer seeking to obtain a fresh certificate of registration 3) The fertilizers that may be supplied - no details are provided in this section The certificate declares that any fertilizers supplied will meet standards under the Fertilizer Control Order and be properly packed and marketed.

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Pooja Roy
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5K views2 pages

"Form O" No.001 Certificate of Source For Carrying On The Business of Selling Fertilizers in Wholesale/retail

This certificate of source details: 1) The issuing concern - Advance Farmer (I) Pvt Ltd, a manufacturer and wholesale dealer of fertilizers in Karnataka 2) The recipient - XYZ Traders Karnataka, a wholesale dealer seeking to obtain a fresh certificate of registration 3) The fertilizers that may be supplied - no details are provided in this section The certificate declares that any fertilizers supplied will meet standards under the Fertilizer Control Order and be properly packed and marketed.

Uploaded by

Pooja Roy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Certificate Details
  • Fertilizer Information

“FORM O”

(See Claus 8 and 11)

No.001 Date of Issue 28/Dec/2020

Certificate of Source for carrying on the business of selling fertilizers in wholesale/retail

1. Particulars of the concern issuing the certificate of source:


a) Name and full address: ADVANCE FARMER (I) PRIVATE LIMITED
FULL ADDRESS OF KARNATAKA
b) Status: i) Manufacturer :
ii) Wholesale Dealer :

c) If manufacturer of mixture of fertilizer, the details of certificate of manufacture of mixture of


fertilizer possessed
i) Number :
ii) Date of Issue :
iii) Date of Expiry :
iv) Grade of mixture of fertilizers
Allowed to be manufactured :
v) Authority by whom issued : COMMISSIONER & DIRECTOR OF AGRICULTURE TELANGANA

d) Details of certificate of registration


i) Number : AL 60/2020
ii) Date of Issue : 14/07/2020
iii) Date of Expiry : 13/07/2025
iv) Authority by whom issued :

2. Particulars of the person to whom the certificate of source is being issued

a) Name and full address: M/s XYZ TRADERS KARNATAKA FULL ADDRESS WITH GST NUMBER

b) Status
i) Wholesale Dealer : YES
ii) Retail Dealer :
iii) Industrial Dealer :

c) If holds a valid certificate of registration, the details there of:


i) Number :
ii) Date of Issue :
iv) Date of expiry :
v) Authority by whom issued :

d) Purpose of obtaining the certificate of source


i) For obtaining a fresh certificate of registration : YES
ii) For renewal of the certificate of registration : NO

3. Details of fertilizer(s) to be supplied:


Declaration: Declared that the fertilizers mentioned above will be supplied confirming to the standards
laid down under fertilizer (control) order, 1985 and the case may be grades/formulations (of mixture of
fertilizers) notified by the Central/State Government and packed and marketed in containers as provided
under clause 21 of fertilizers (control) Order 1985.

Signature with Stamp of the


Authorized Officer

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