FORM - B1
Application for the issue of Special Licence to Acquire Rubber for Processing & for Selling Rubber Acquired
 1. LICENCE DETAILS
  Application No   Application Date Click Here to Pick up the date  
  Name of the Applicant   Company Name
  Licence Year   Note : Licence will be issued in this name
Note : Year for which Application is to be considered
 2. APPLICANT DETAILS
Full Address of the Applicant
  Address   City  
  State   District  
  Pincode   Phone No  
  Mobile No   Email  
  Fax No        
OWNERSHIP OF THE FIRM
 3. Constitution Details
  Constitution Type    
 4. Click Here To Add New Owner Details  Details in Respect of the Owner / Each Partner for Partnership
 
Note :
  • Click the Plus button to add more Rows
  • Unselect the Checkbox to Remove the Unwanted Rows
 5. PROCESSING DETAILS
 Click Here To Add New Office Address Details Address in Full of the Location of the Processing Unit
Note : Enter the Main Processing Address as First Entry
Note :
  • Click the Plus button to add more Rows
  • Unselect the Checkbox to Remove the Unwanted Rows
 6. STORAGE DETAILS
 Click Here To Add New Storage Details Address in Full of the Place of Storage
Note :
  • Click the Plus button to add more Rows
  • Unselect the Checkbox to Remove the Unwanted Rows
OTHER DETAILS
 7. Licence Details
  Have you been a licenced Dealer or Manufacturer under the Rubber Act.1947 (24 of 1947) Yes No  
  The Date from which you are Processing Rubber
  Dealing Date Click Here to Pick up the date    
 8. Are you doing or Proposing to do any Business other than Processing Rubber
  Give Details  
 9. Invested Capital or Financial Standing of the Firm
  Invested Capital  
 10. What is the Proposed Capacity or Installed Capacity of the Processing Unit in Kgs
  Capacity per day   No of Days Basis  
  Proposed Quantity    
 11. What is the Source of Supply of Raw Materials
  Source of Supply of Raw Materials  
 12. State Whether you are Proposing to import the Machinery or Fabricate the same indigenously
  Machinery Details  
 13. What Arrangements have you made for the Necessary Technical Know How
  Technical Arrangement  
 14. What arrangements have you made for Technical Specification as per Standards of the Bureau of Indian Standards
  BIS Arrangement  
 15. What was the Total Quantity of Rubber Acquired, Processed and Sold by you during the Previous Five Years ?
   
S.No Year Rubber Acquired in Kgs.   Rubber Processed in Kgs. Rubber Sold in Kgs.  
1    
2    
3    
4    
5    
(If accurate figures are not available approximate figures may be given)
Validity Details
  Valid From Date Click Here to Pick up the date   Valid Till Date Click Here to Pick up the date  
License Amount Fetch Page
Payment Details
Advance Amount Available
Data Not Available
  Type Amount To Pay Amount Paid Bal Amount to Pay  
Total
  Excess Amount Available :  0.00  
  Advance Deposit Available :  0.00  
List of Documents to be enclosed
 (i).  Affidavits
 (ii).  Proof of payment of fee
 (iii).  Partnership Deed / Certificate of Incorporation & Memorandum and Articles of Association of the Company / Bye-law of the Society
 (iv).  Project Report in respect of the processing unit
 (v).  Documentary evidence as to the source of finance
 (vi).  Consent Letter issued by the State Pollution Control Board
   
   Place :
   Date : Click Here to Pick up the date
CREATION DETAILS
  Creation Date   Remarks  
User Creation Details
Login Details
User Type Proessor
Application-No (User-ID)
Corporate Name
Contact Person/Name
Address
City
Pincode
State
District
Land Phone
Mobile
Email
Password
Repeat Password
Secret Question  
Secret Answer  
Date Click Here to Pick up the date
Place