FORM ‘J’ [See rule 26 (1)] To The Secretary, Agricultural Produce Market Committee Sir, The particulars of my business are given below:— 1. Name of the applicant with parentage, residence and address in full._______________ __________________________________________________________________________ 2. 3. 4. Sr. No. 1 If the applicant is a firm, is it a Hindu Joint Family Firm, or otherwise constituted. ___ ________________________________________________________ Has it been registered or not? _____________________________________________ If the applicant is a firm, give the names of all persons constituting it with parentage, residence and address, in full of each: Name 2 Fathers/Husband’s name 3 5. Name of the Managing proprietor or the Manager who will actually conduct the business 6. Name or style under which the applicant will conduct his business 7. Does the applicant wish to be registered as a broker/ weighman/ measurer/ surveyor/ godown keeper/ hamal (Palledar)_ 9. Has the registration, if any, made previously to the applicant, or if the applicant is a firm, to any member thereof, singly or in collaboration with anybody else, for working as a broker, weighman, measurer, surveyor, godown keeper or hamal (Palledar) in any notified market area been cancelled. If so, where, when, for what period and for what reason? Certified that :— (i) the facts set out in application are true to the best of my knowledge. (ii) I under take to abide by provisions of the Himachal Pradesh Agricultural and Horticultural Produce Marketing (Development and Regulation) Act, 2005 (Act No. 20 of 2005) and rules and bye- laws made there-under, (iii) I shall be responsible for all acts of my employees. It is, therefore, requested that the registration certificate under section 40 of the Himachal Pradesh Agricultural and Horticultural Produce Marketing (Development & Regulation) Act, 2005 may kindly be issued to me. Dated................. Signature of the Applicant Notes,— (1) Registration to work as a weighman, a measurer or a surveyor shall only be issued to individuals and not to a firm. (2) In case the application is made by a firm, it may be signed by the Managing proprietor only. To be filled in by office Registration fee received 1 No and date of receipt 2 Page of cash book where entry made. 3 Contents of application verified. Market Supervisor, I/c of the Market Area/ Market yard. Accountant Committee Orders of Registration Authority Date: Signature with Designation.
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