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  NEW  FERTILIZER  REGISTRATION CERTIFICATE APPLICATION  STEP: 1 /3
DETAILS ABOUT FRC ISSUING AUTHORITY
Notified Authority :(*)  
District :(*)  
DAO Office:(*)  
APPLICANT'S INFORMATION
Bussiness Type : (*)
Dealership Nature : (*)  
Applicant's Name :(*)                                         
Name Of Firm (*)  
Postal Address :(*)  
District :(*)   Block :(*) Pin:(*)  
State :(*)
Mobile No:(*)   Telephone No :
 
Email-ID:(*)   Fax No :  
PAN Number: TIN/SRIN Number:
Photograph:(*)
(in .jpg/.jpeg/.bmp/.gif only)
 
      
All * Marked Fields Are Compulsory.....
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