FORM ‘D’ [See Clause 14(2) (a) & 18(1)] FORM OF APPLICATION TO OBTAIN A CERTIFICATE OF MANUFACTURE OF PHYSICAL /GRANULATED MIXTURE OF FERTILISER OR ORGANIC FERT

FORM ‘D’ [See Clause 14(2) (a) & 18(1)] FORM OF APPLICATION TO OBTAIN A CERTIFICATE OF MANUFACTURE OF PHYSICAL /GRANULATED MIXTURE OF FERTILISER OR ORGANIC FERTILIZER/BIOFERTILIZER To, The Registering Authority Place__________________ State of ________________ 1) Full Name and address of the applicant: 2) Does the applicant possess the qualification prescribed by the State Government under sub-cla (Extractive summary — verify with official source.)