Application for the Grant of Licence to Sell/Stock/Exhibit/Distribute Insecticides

::  Licensing Issuing Authority Details ::
State  :
District :*
Licensing Authority,DAO :*
Date Of Application :*  

:: Applicant Details ::
Sale License Type :*  License`s Area Belongs to ? 
Do you have existing License ? :*   License No :  
Name Of the  Firm :*   Full Name Of the Applicant :* 
Name Of the Technical Personnel :   Technical Personnel Qualification :  
District :*  Block :* 
GP :*  Village :* 
Pin :*  Mobile No. :* 
Email-ID :* 
Upload passport  Size Photograph(JPG) :*  Qualification Certificate(PDF) :  
Upload Passport Size Photograpn(Technical)(JPG) :