:: Government of Telangana AGRICULTURAL MARKETING DEPARTMENT ::

FORM 5-A [See Rule 48]

Application for Grant / Renewal of Trader License for operating under Section 7(1-A) of The Telangana (Agricultural Produce & Livestock) Markets Act, 1966.

To,

The Director of Marketing, Govt. of Telangana, Hyderabad.

Sir,

I/We .......................................... (Name) .............................................. (Address) ......................................... (Phone No), hereby apply along with application fee of Rs.100/- for grant / renewal of a license for a period of 3 years, under Sec7(1-A) of The Telangana (Agricultural Produce & Livestock) Markets Act, 1966 for operating as trader for notified agricultural produce, livestock and products of livestock. I/we agree to pay the necessary license fee of Rs. 5000/- as per the prescribed Rules.
Along with this application I am enclosing the following documents.
1. An affidavit regarding solvency.
2. Bank Guarantee
3. Copy of PAN Card
4. Copy of GST Registration
5. Proof of Address
  i. Business Address
  ii. Residential Address
6. Copy of AADHAAR Card/Cards, as the case may be
7. Copy of Certificate of Registration of Partnership firm issued by The Registrar of Firms/Certificate of Incorporation of Company/ Body Corporate issued by the Registrar of Companies (whichever is applicable)
8. Copy of Memorandum of Association/Articles of Association in case the applicant is a Company and Deed of Partnership in case of a Partnership Firm
9. Latest No Dues Certificate issued by the Secretary of the Agricultural Market Committee in respect of the payment of all arrears including Market Fee, Rents, dues related to sale proceeds to the farmers and Assessments issued by the Secretary of the Agricultural Market Committee ,who has jurisdiction over the registered office of the applicant.
The application for the Renewal of License shall be rejected if the applicant has not produced No Dues Certificate
I/We agree to abide by the Telangana (Agricultural Produce & Live Stock) Markets Act, 1966and Rules and Bye-laws made thereunder and amendments made to it and the directions or orders issued by the Director of Marketing, from time to time.
I/We agree to keep all the necessary records and information duly updated about the functioning of our business and to produce whatever information and documents asked for inspection by the appropriate authority.
I/We agree to pay whatever charges or fees or amounts payable by and due from me/us . I/we further declare that no arrears are due to be paid to the Agricultural Marketing Committee as on the date of this application and a No Due Certificate issued by the Secretary is filed herewith in support of the same.
I/We agree not to associate with the persons doing illegal business and will assist in taking legal action against such person(s).
I / We have not been found guilty of any offence or misconduct in any of the market committees.
I / We are not involved in any activity that is contrary to the Act, Rules and Bye-laws.
I/we undertake to abide by all the provisions of the Act and Rules, Notifications and Bye-laws made thereunder.

Date:

Place:

Signature of the Applicant:

Name: .......................................

Address:

Email ID: .........................................

FORM 5 - C [See Rule 49]

Application for Grant/ Renewal of Commission Agent License under Section 7(1-B)of The Telangana (Agricultural Produce & Livestock) Markets Act, 1966.

To:

The Secretary, Agricultural Market Committee, ......................................

Sir/Madam

I/We ..................................... (Name) ..................................... (Address) hereby apply, alongwith the application fee of Rs.1,000/-, for grant / renewal of Commission Agent license for operating in ............................... market under the control of the Agricultural Market Committee, ................. .................. in the premises described in the schedule below. I/We agree to pay the necessary license fee of Rs.10,000/- as per Rules for obtaining the above License .

The Particulars are as stated below:

Name of the Applicant
Father’s / Husband’s Name (if individual):
Age of Applicant (if individual):
Name and address of the business Premises and Phone number:
Residence Address and Phone number:
Status of the Applicant (State whether Individual or Partnership Firm or Co-operative Society or Joint Hindu Family or Association of persons or Company or Corporation or Board or any other status).
If Partnership Firm, give names of Partner /s and furnish the Registration Certificate / Partnership Deed.
If Company or Society or Board or Corporation furnish names of Managing Director/Directors President/ Chairman and Managers/ Managing Agents, as the case may be. In all cases give names of Agents or persons authorized to carry on Business whether by General Power of Attorney, or by resolution or otherwise.
In other cases, give Names of Proprietor or Persons in Management.
If Joint Hindu Family Firm give Names of all Members and Manager with age of each member.
Mention the names and addresses of the Assistants who will work on behalf of the applicant.
Name or Names of other firms, Companies, carrying on business in Agricultural Produce in which the Applicant or a partner of the applicant firm or a Director of the applicant company is a partner or Director as the case may be. If so, give particulars.
Whether the applicant owes any outstanding amount relating to his business, to any producer/ Seller. If so, state particulars of outstandings.
Undertaking in the form of an Affidavit that the applicant shall abide by all the provisions of the Act and rules made there under and the applicant is aware of the consequences of violations including cancellation of license and recovery of all dues.
Whether the applicant has storage Facility, If so, give particulars and state whether they are registered with the Market Committees as specified in the bye-laws of the Market Committee.

Godowns:

	CTS No.	Storage Capacity
	Ward/ Lane	Bags / MTs
Owned Rented / Leased

GST Registration No. ..................................... (enclose the copy of Registration)
If the application is for renewal, state the turnover of last three years.
If the application is for renewal, enclose the original license.
Whether the applicant owes any dues to the Market Committee on account of charge/ costs/expenses/fees/rent or on any other account. If so furnish details.
Any other relevant information/ documents that the applicant desires to furnish. Along with this application I am enclosing the following documents.
1. A solemn declaration regarding applicant’s solvency.
2. Bank Guarantee
3. Copy of PAN Card
4. Copy of AADHAAR for Proof of Address (in case of individuals) :
5. Copy of GST Registration (if applicable)
6. Other Documents (details to be specified)

SCHEDULE UNDER FORM 5-C

Serial No	Name of the Town or Village	Name of the Mandal	Ward and Block No.	Survey No.	Name of Street
1	2	3	4	5	6

Door No.	Description of premises	Boundaries
		North	East	South	West
7	8	9	10	11	12

Place:	Signature of the Applicant
Date:	Name of Applicant/Authorised Signatory
	Designation
	Seal

Declaration

I ..................................... hereby declare that the information furnished in the above application is true to the best of my knowledge and belief. I have read and understood the provisions of the Telangana (Agricultural Produce & Live Stock) Markets Act, 1966 and Rules made there under and the Bye-laws of the Agricultural Market Committee and the terms and conditions of license and declare that I agree to abide by them and any amendments thereto made from time to time.

I also agree to pay the applicable license fee and to full fill other conditions, if any, prescribed by the Agricultural Market Committee from time to time.

I request you to grant / renew commission agent license for the ..................................... market.

Yours faithfully,

Place:
Mandal:
District:
Date:
Email ID:....................................

Signature of the Applicant
Name of Applicant/Authorised Signatory
Designation/
Seal

FORM 5 - D [See Rule 49]

Form of Application for Grant / Renewal of License to operate a Warehouse

To,

The Secretary, Agricultural Market Committee.

date:..................................................

Sir/Madam,

I/We .................................................. S/o, W/o, D/o .................................................. (Name) .................................................. Resident of .................................................. (Phone No.), am/are making an application along with application fee of Rs. -----/-- for License for operating a Warehouse under the jurisdiction of the Agricultural Market Committee,.................................................. in the premises as described in the schedule below. I/We agree to pay the necessary license fee of Rs. -----/-- as per the Rules for obtaining the above mentioned Licence for a period of 3 years.

The Particulars are as stated below:

Name of the Applicant
Father’s / Husband’s Name:
Age of Applicant (if individual):
Name and Address of the Business Premises and Phone number:
Residence Address and Phone number:
Status of the Applicant (State whether Individual or Partnership Firm or Co-operative Society or Joint Hindu Family or Association of persons or Company or Corporation or Board or any other status).
If Partnership Firm, give Names of Partner /s and furnish Copy of the Registration Certificate and latest Partnership Deed
If Company or Society or Board or Corporation furnish Names of Managing Director/Directors/President/ Chairman and Managers/ Managing Agents as the case may be. In all cases furnish names of the Agents or persons authorized to carry on business whether by General Power of Attorney or by resolution or otherwise.
In other cases, give Names of Proprietor or Persons in Management.
If Joint Hindu Family Firm give Names of all Members and Manager With age of each member.
Mention the Names and Addresses of the Assistants who will work on behalf of the Applicant.
Undertaking in the form of an Affidavit that the applicant shall abide by all the provisions of the Act and Rules made thereunder and the applicant is aware of the consequences of violations including cancellation of license and recovery of all dues.
Give particulars of the warehouse
1. Address of the warehouse
2. Construction type
3. Year of construction of the warehouse
4. Area of the premises
5. Storage capacity in MTs
6. Attach copy of the warehouse plan
7. Fire Safety Certificate Issued by the Competent authority.
8. Copy of Valid Insurance Certificate.
9. Attach completion certificate / occupancy certificate issued by the competent authority.
The warehouse / cold storage is owned or leased (furnish supporting documents)
GST Registration No. .................................................. (enclose the copy of the registration)
If the application is for renewal, state the turnover of last three years.
If the application is for renewal, enclose the original license.
Whether the applicant owes any dues to the Market Committee on account of charge/ costs/expenses/fees/rent or on any other account, please furnish details.
Furnish the list of infrastructure and facilities provided out of those listed under Warehousing Development and Regulation Act, 2007 and the Regulations therein.
Any other relevant information/ documents that the applicant desires to furnish. Along with this application I am enclosing the following documents.
1. A solemn declaration regarding applicant’s solvency.
2. Bank Guarantee
3. Copy of PAN Card
4. Copy of AADHAAR for Proof of Address (in case of individuals) :
5. Copy of GST Registration (if applicable)
6. Other Documents (details to be specified)

SCHEDULE UNDER FORM 5 -D

Serial No	Name of the Town or Village	Name of the Mandal	Ward and Block No.	Survey No.	Name of Street
1	2	3	4	5	6

Door No.	Description of premises	Boundaries
		North	East	South	West
7	8	9	10	11	12

Place:	Signature of the Applicant
Date:	Name of Applicant/Authorised Signatory
	Designation
	Seal

Declaration

I/We .................................................. hereby declare that the information furnished in the above application is true to the best of my knowledge and belief. I have read and understood the provisions of the Telangana (Agricultural Produce & Live Stock) Markets Act, 1966 and Rules made there under and the Bye-laws of your Committee and the terms and conditions of license and declare that I/We agree to abide by them and any amendments thereto made from time to time.

I/We also agree to pay the applicable license fee and execute an agreement and to full fill other conditions prescribed by the Agricultural Market Committee from time to time. I/We shall use this license only for the purpose of storage of notified agriculture produce and in the event of the Warehouse being declared as a Market under Section 4 (3) (bbb) of the Act, I shall equip myself to be able to participate in the online trading platform provided by the Government by making an application under Form 6.

I/We request you to grant / renew warehouseman license for the specified warehouse / cold storage.

Yours faithfully,

Place:
Mandal:
District:
Date:
Email ID:..................................................

Signature of the Applicant
Name of Applicant/Authorised Signatory
Designation/
Seal

FORM 5 - E [See Rule 49]

Form of Application for Grant / Renewal of Processor License to operate Processing Unit

To,

The Secretary, Agricultural Market Committee.

Sir,

I/We .................................................. (Name) .................................................. (Address) .................................................. (Phone No.), am/are making an application along with application fee of Rs.2000/- for a license to operate a Processing Unit under the jurisdiction of the Agricultural Market Committee,........................................... in the premises as described in the schedule below.

The Particulars are as stated below:

Name of the Applicant
Father’s / Husband’s Name (if individual):
Age of Applicant (if individual):
Name and Address of the Business Premises and Phone number:
Residence Address and Phone number:
Status of the Applicant (State whether Individual or Partnership Firm or Co-operative Society or Joint Hindu Family or Association of persons or Company or Corporation or Board or any other status).
If Partnership Firm, give names of Partner/s and furnish the Registration Certificate / Partnership Deed
If Company or Society or Board or Corporation furnish names of Managing Director/ Directors/ President/ Chairman/Directors and Managers/ Managing Agents as the case may be. In all cases furnish names of the agents or persons authorized to carry on business whether by General Power of Attorney or by resolution or otherwise
In other cases, give Names of the Proprietor or Persons in Management.
If Joint Hindu Family Firm give Names of all Members and Manager with age of each member.
Mention the Names and Addresses of the Assistants who will work on behalf of the Applicant.
Undertaking in the form of an Affidavit that the applicant shall abide by all the provisions of the Act and Rules made there under and the applicant is aware of the consequences of violations including cancellation of license and recovery of all dues.
Give particulars of the Processing Unit
1. Address of the processing unit
2. Construction Type
3. Year of construction.
4. Area of the premises
5. Attach copies of the following certificates issued by the Competent Authorities :-
  1. Processing Unit Plan
  2. Completion certificate
  3. Occupancy Certificate
  4. Fire Safety Certificate.
  5. Insurance Certificate.
The Processing Unit is owned or leased (supporting documents to be furnished)
GST Registration No. .................................................. (enclose Copy of the Registration)
Details of the Applicant’s Bank Account.
If the application is for renewal, state the turnover of last three years.
If the application is for renewal, enclose the original license.
Whether the applicant owes any dues to the Market Committee on account of charge/ costs/expenses/fees/rent or on any other account, please furnish details.
Agricultural Produce to be processed in the Unit
Any other relevant information/ documents that the applicant desires to furnish Along with this application I am enclosing the following documents.
A solemn declaration regarding applicant’s solvency.
1. Bank Guarantee
2. Copy of PAN Card
3. Copy of AADHAAR(in the case of individual) :
4. Copy of GST Registration (if applicable)
5. Other Documents (details to be specified)

SCHEDULE UNDER FORM 5 E

Serial No	Name of the Town or Village	Name of the Mandal	Ward and Block No.	Survey No.	Name of Street
1	2	3	4	5	6

Door No.	Description of premises	Boundaries
		North	East	South	West
7	8	9	10	11	12

Place:	Signature of the Applicant
Date:	Name of Applicant/Authorised Signatory
	Designation
	Seal

Declaration

I/We .................................................. hereby declare that the information furnished in the above application is true to the best of my knowledge and belief. I have read and understood the provisions of the Telangana (Agricultural Produce & Live Stock) Markets Act, 1966 and Rules and the Bye-laws of your Committee and terms and conditions of license made there under and declare that I agree to abide by them and any amendments there to made from time to time.

I also agree to pay the applicable license fee and to full fill other conditions prescribed by the Agricultural Market Committee from time to time. I/We shall use this license only for the purpose of processing of notified Agriculture produce and in the event of the Processing Unit being declared as a Market under Section 4 (3) (bbb), I shall equip myself to be able to participate in the online trading platform provided by the Government by making an application under Form 6.

I request you to grant / renew license for the specified processing unit.

Yours faithfully,

Place:
Taluk:
District:
Date:
Email ID: ..................................................

Signature of the Applicant
Name of Applicant/Authorised Signatory
Designation/
Seal

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