FORM VI-C
[Rule 10 (3A)]
LICENSE TO STOCK AND USE RESTRICTED INSECTICIDE(S) FOR COMMERCIAL PEST CONTROL OPERATIONS

  1. ____________________ is hereby licensed to stock restricted insecticides viz., ____________________ on the premises situated at ________________ and carry out commercial pest insecticides act, 1968 and the rules there under.
  2. License shall be in force from _______________ to ________________.
  3. Conditions, if any:-
  • a _________________________________________________
    b____________________________________________________
    c____________________________________________________
    •

    Date.____________

    License No.______________
    License Authority seal ___________