E M B L E M FORM ‘A’ (See Clause 4) FORM OF APPLICATION TO OBTAIN DEALERS ‘LICENSE’ To The Registering Authority,

E M B L E M FORM ‘A’ (See Clause 4) FORM OF APPLICATION TO OBTAIN DEALERS ‘LICENSE’ To The Registering Authority, ............................................. (place), State of / U.T. of Tripura. 1. Full name and address of the applicant: a) Name and postal address: b) Place of business (Please given exact address) : i. For sale ii. For storage 2. Is it a proprietary / partnership / Limited Compa (Extractive summary — verify with official source.)