AP Grama Sachivalayam

FP Shop Renewal -APPLICATION FOR ISSUE OF AUTHORIZATION TO RUN A FAIR PRICE SHOP

FP Shop Renewal -APPLICATION FOR ISSUE OF AUTHORIZATION TO RUN A FAIR PRICE SHOP. Those who want to apply for the Fair Price Shop fill the below application form at Meeseva or Grama- Ward Sachivalayam.

AP Grama Sachivalayam
AP Grama Sachivalayam

FP Shop Renewal -APPLICATION FOR ISSUE OF AUTHORIZATION TO RUN A FAIR PRICE SHOP

APPLICATION FOR ISSUE OF AUTHORIZATION TO RUN A FAIR PRICE SHOP

FP Shop Details:

 

Shop District:   ___________________________________ FP Shop Mandal:   _________________________________________

FP Shop Dealer ID:  ______________________________ Authorization No: __________________________________________

FP shop Address: _________________________________________________________________________________________

 

FP Shop Dealer Details:

 

Dealer Name (In Capital Letters):  ____________________________________________________________________________

Father/Mother Name: ________________________________ Age & Date of Birth: ____________________________________

Caste: _________________________________________Educational Qualification: ____________________________________

 

Address:      Door No: _____________ Locality/Landmark: ___________________________ Village: _______________________

Mandal: ______________________ District: __________________________ Pin code: _______________________

Mobile Number: _____________­­­­­__________   E- Mail ID: ______________________________________________

 

Whether he is physically handicapped (YES/No)    _______________________________________________________________

Whether the applicant is connected with any other business run either by himself or by any member of his family and if so give details__________________________________________________________________________________________________

Whether any number of the applicant’s family has been issued authorization to fair price shop earlier and if so give the details ________________________________________________________________________________________________________

Whether any of his blood relations is working in revenue/CS Dept. /CS corp. and if so give details ________________________________________________________________________________________________________

Village location, Door number, when the applicant wants to run fair price shop, if he is selected ________________________________________________________________________________________________________

Whether he can raise the sufficient funds to run fair price shop with his own funds and if so give source or whether he needs institutional finance________________________________________________________________________________________

Whether he was convinced earlier for offence under central order issued by the State/Central under E.C Act._____________________________________________________________________________________________________

Amount, Challan number and date through which fee for issued authorization `and application renewal has been submitted ________________________________________________________________________________________________________

 

I have carefully read the conditions and I agree to abide by them.

 

  • I have not previously applied for such authorization in this district.
  • I applied such authorization in this district on and was not granted.
  • I hereby apply for renewal of authorization ……………………………………………………………………………………………………………

………………………………………………………………….which is enclosed.

(Strike of the Clauses not applicable)

 

Signature of the Applicant

Procedure (following to be enclosed)                                                                          

                                                                                                                                  

  • Application Form*  Contact Details:
  • Copy of Authorization letter*                                Land Line Number :
  • Latest renewed food grains and kerosene License* Mobile Number :
  • PHC Certificate (Certificate is enclosed in case he is physically handicapped). E- Mail ID :

 

To Download Application Form (Click Here) – Link Update soon

To download the application form visit the official website. Here on this page we provide the official website links and application form link. If you have any doubts on this topic comment below.

Those who want to apply for FP shop renewal or new application fill the above application form. Fill the above application form carefully. If you have any doubts while filling the application form tell us by comment at bottom of the article.

 

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