DEPARTMENT OF AGRICULTURE AND FARMERS WELFARE ,Haryana

DEPARTMENT OF AGRICULTURE
AND FARMERS WELFARE , Haryana

New Registration / नया पंजीकरण

Existing License Holder :

Select License :

Financial Year :

Type :

Name Of The Firm :

GST No. :

Firm Type :

Other Firm Type

Qualification Of The Applicant / Technical Personnel:

Name Of The Qualification Holder:

Designation Of The Qualification Holder :

Registered Office Details :

State :

City :

Pincode :

Phone No. :

Firm Email :

Manufacturing Capacity (Mts/annum):

Particulars Of Responsible Person ( Fill Same as of Technical Person )

Qualification Of The Personnel:

Name:

Designation :

Complete Address Of Manufacturing Premises

Address Of Premises

District

Subdivision

Block

Village

Pincode

Particulars of Directors / Partners / Proprietor

S.No.	Name	Capacity
1

Particulars Of Authorised Person Submitting the Application

Full Name :

Father’s / Husband’s Name :

Mobile No. :

Email ID :

Aadhar No. :

Address :

State :

City :

Pincode :

Capacity :