TaxTMI 
TaxTMI 
Application for registration for manufacture / distribution / sale / purchase / possession / storage / consumption of controlled substance in Schedule-A
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....________ 3) ____________________ 4) ____________________ 5) ____________________ (B) Purpose for which registration is applied for (Please put ✓ in appropriate box): (1) Manufacture (2) Distribution (3) Sale (4) Purchase (5) Possession (6) Storage (7) Consumption (8) Others (Please specify) Part-II (A) Name of the Applicant : (B) Complete postal address with PIN Code / Telephone / Fax Number (with city code) / e-mail ID: &....
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.... (C) Detai....
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....sation / Election Commission / Details of conviction / pending cases under the Narcotic Drugs and Psychotropic Substances Act, 1985. (E) Complete postal address of business premises with PIN Code / Telephone / Fax Number (with city code) / e-mail ID: &n....
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....f different from that given above): ....
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...._________________ 2) South : _________________ 3) East : _________________ 4) West : _________________ (H) Details of property holding rights of the applicant with respect to the business premises for which registration is applied for (Please put ✓ in appropriate box): Ownership Lease / Rent If owned whether Mortgaged Hypothecated Please specify details of mortgage / hypothecation (I) Name designation and address of the person signing this Application Form and of the authorised persons: 1) Person signing this Application Form: Name  ....