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EMBLEM
FORM 'H'
[See Clause 23(1)(b)]
To
The Registering Authority
State of ..........................
(2) The name of fertilisers in which the applicant has been authorised to carry on business :
(3) Number and date of registration certificate granted in favour of the applicant :
(ii) The source from which the fertilisers were originally purchased and the period during
which they have held by the applicant.
Note : *Chemical analysis to be indicated shall be one which has been certified by a notified
Fertiliser Control Laboratory on the basis of samples drawn by the Fertiliser Inspector.
I enclose a copy of the certificate of registration for dealing in fertilisers already granted to me
and I have deposited the prescribed fee for permission to sell non-standard fertilisers.
I certify, that I will comply with the requirements of sub-clause (a) of clause 23 of the
fertilisers (Control) Order,1985 which requires that each
Date : ...................................................
Place : .................................................