Form "0"

(SeeCl8uae8& 1') .
RlClA.1VRE OFFICER Date of Issue: 24.07.2019
.r-8AREIlL Y (U.P., DEALER COO£: len7

oIf1ifocaleof sourOl to< carrying on the -'$~

of $e11lf1gfertilisers in V1h0I'l"e4eIremJV or itldo$!rial use.
r
Particulars of the concern is3Ui!ig the cMiflcate 01 seeree.
{oj Nama end I"ull Addr.ss: '1· CI1AMBAl FERllL1SI'RS AND CHEMI(>AlSLTD.
Hloduslan Times House, 3" Floor. 25. Ashok Marg, Lucknow-226001 (UP)
Ph! O1l22-'106q905

(b) SI9.t01l : Mrilaaurer

(C) If manufacturer of mixture cffeftilisers, lhe-detalls of ce!tlnca1e 01 mantJfaclure.pf miXlul'e of lerlil."rs pO"."s.d:
Not Applicable.
(d) OemUsof aortifk:ate of r"9i~:
(I) Number 7&1175321)
(Ti) Data of Is...., 1705 2Of7
(ii) Date 01 ellFi 18.05.2020
()v) Authority by """"" i>sued : JoiI~ OIredOf 01 A!l<i:u!tlIe (l'mlIsets)-ltJd<noW

2 Delaat 01 tile perscn 10 \'IIlOOl1IIe eenlic!\le tJI source is being Issued:

(a, Nameand Ful Address SHARMAIQiAO BHANOAR,
SllEESHGARH ROAD. Olll'iKA. TEHSll-MEERGANJ,
DISTRICT-BAREILL Y-24J51lS (I) P_I
(b) Status:
(I) Wholesale <lealor. yeS
(Ii) Relall deale, : yes
(c i "h04d. a vaBc!cortifiC;tt~ of "'9i&tmoon. tho dotoll3lhorcof:
(I) Numb.r : ~I) DaI~ of lsS!Je .
(IiQ Dale ofe>5l'il;y • : (iv) AuthMty by _issued .
(d) Purpose or ob1ail))ng!he ~r~ticale of source:
(I) For obtaining a fresh ce1'tticate of reglSII1!t.1On : NA
(I) For reneoml ... Ihe certlliaI'" of reglslnltion : YES

3 0etaIb 01 tertllizel(sl to be suppIl'ed

~ NaMot Eedj!jseB Trado M3!!s! Brpnd Npmo
I NEEM COA TEO UREA· Inci!;enoos Ullam Ncam U, ••
2 !lAP. ~ UttamDAP
3 "OF· ImpcrIed UtlamMOP
-4 ssp. Indigenoo$ (Gtanulor & P_' UttamSSP
5 NPK (10:26:26) -Im~ UI1am NPK (10:28:28,
6 NPK (12:32:16l-ln'poiled Uttam NPK (12 32:16)
1 SSP· Ind\genous- Marketeer U1IlIm SSP
8 SUlphur90%· Granular SUllon
9 CALCIUM N1TRATE-lmpolieQ Cal~cI1
10 City Compost - Mar!(eleer Uttam City Co"'l'OA'
11 WATER SOLUBLE FERTILISERS
11) NPK (19:19;19) VllAm Red'l"l!jn
Il) 1J0000 PGtassion;'PI>O$ph9le (100-% waler Soluble) (0:52:3,4) Utl6m Red'lllf9'l
<) f'OI.iI$$i4m SulJ)ilste{O;·O:50) Uttam Re·cha.'g6
d) Mono Ammonilm) PhQspl1ate(100% Water SolUble) (1-2:61:0) VUam Rectwge
0) P_itlm·NI&!Ita (13:0:~5) Uttam Rect>2198
12 ZJnc Sulphate Mono Hydrdate 33%.- Mar1laleer Vitam Zinc 33
13 CI",llIIed Z;",AsZil EoTA-MarKeleer Vitam Zinc EOTA
14 Mbcture of Mlcttonutrim Grade - Malketeer $ampooma

DedStaUOn: Declared that !he~ mentioned abave win be supplied conIonnilg to tile standaItIs laid """'" Lnder 4IIe Felli....... ,
(Conlrol) ORler, 19S5 -. as !he case may be. ~ (d miX!we ot_) notill@d by !he ~
Govemmentand marl<eIadincootainet as prOIided Lnder dmlSe 21 oI1he Fe<ti!is4!ts (CooWI) Oodof, 1865.

Fer CfIAMBAL FmnUSeRS AND QiEMICJll.S LTO.

~~
5lgnalu"" wilh Siamp Of lI19 Authorised OffICer (AUl'HORISEO SIGNATORY)

Omi1led by $0 459(B) daled 22-5-1995, It was as unde,:

!'IOTE: Tha certiflcate of souroe shall notne Issued bV thO wholesaler. oxcepting WIi<!(i st.t;h whille."lell""ler Is 9 marlUfaeturer. a. pool
handling agen:J/ ot a SlIlle GO'Jemmenl to ~f 'Nho~ale dealer or 16Ind"~lri.' dealer .