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FORM A-2

ACKNOWLEDGEMENT
(See clause 8(3))

NEW

Authorization Letter Number: KMRD/26/ADA/FR/2022/32096


Date of issue : 07/06/2022
Valid up to : 06/06/2027

1. Received from M/s. SRI VENKATA BALAJI FERTILIZERS, GANDIVET(V), GANDHARI(M), YELLAREDDY(DIV),
KAMAREDDY (DISTRICT).a complete memorandum of intimation along with Form “O”, fee of Rs.2500/- by challan
bearing No(s).6200003411, Dt(s):04/04/2022.

2. This acknowledgement shall be deemed to be the letter of authorization entitling the applicant to carry on the
business as applied for a period of 5 years from the date of issue of this Memo of acknowledgement unless
suspended or revoked by the competent authority.

Date : 07/06/2022
Place : Yellareddy

Signature of Notified Authority

Page 1 of 3
FORM A-2
ACKNOWLEDGEMENT
(See clause 8(3))
NEW

Authorization Letter Number: KMRD/26/ADA/FR/2022/32096


Date of issue : 07/06/2022
Valid up to : 06/06/2027

LETTER OF AUTHORIZATION TO CARRY ON THE BUSINESS OF SELLING OF


FERTILIZERS AS A RETAIL DEALER IN THE STATE OF TELANGANA

M/s.SRI VENKATA BALAJI FERTILIZERS, GANDIVET(V), GANDHARI(M), YELLAREDDY(DIV),


KAMAREDDY(DISTRICT), is here by granted Letter of Authorization to carry on the business of selling fertilizers as
applicable in retail at the place specified below in the state of Telangana subject to the terms and conditions and
provisions of the Fertilizer (Control) Order,1985.

DESCRIPTION OF THE PLACE AND TYPE OF BUSINESS


Location of
Place of business and person Godowns Type of Source of
Location of sale depot
responsible attached to sale Fertilizers Supply
depot

1 2 3 4 5

M/s.SRI VENKATA BALAJI 5-96, NEAR GRAM


FERTILIZERS, 5-96, NEAR GRAM PANCHAYAT OFFICE,
PANCHAYAT OFFICE, Gandivet, Gandivet, Gandhari,
Gandhari, Yellareddy, Yellareddy, Nil List List
Kamareddy,503114. Kamareddy,503114. Enclosed Enclosed

Person Responsible List Enclosed (Godown also included)

Date : 07/06/2022
Place : Yellareddy

Signature of Notified Authority

Page 2 of 3
FORM A-2
ACKNOWLEDGEMENT
(See clause 8(3))
NEW

Authorization Letter Number: KMRD/26/ADA/FR/2022/32096


Date of issue : 07/06/2022
Valid up to : 06/06/2027

Details of Person Responsible

Person Name Age Designation Father Name Present Address Permanent Address
5-97 , GANDIVET, NEAR 5-97, GANDIVET, NEAR
CHITKE KAVERI 23 PROPRIETOR SRINIVAS GRAM PANCHAYAT OFFICE, GRAM PANCHAYAT OFFICE,
Gandivet, Gandhari, Gandivet,
Yellareddy,Kamareddy, 503114 Gandhari,Yellareddy,Kamared
dy, 503114

Type of Fertilizers :

Source of Supply
SAI KRUPA FERTILIZERS & PESTICIDES,Nizamabad,A.L.No.92/2020, Valid upto17/11/2025

Omkarmal Dwarakadas,Kamareddy,A.L.No.KMRD/34/DAO/FW/2020/27842, Valid upto17/11/2023

Sri Rama Krishna Trading Co,Kamareddy,A.L.No.30/2020, Valid upto01/05/2025

Yellanki Rajamouli & Co,Kamareddy,A.L.No.38/2020, Valid upto01/06/2025

Sri Bhagya Laxmi Trading Company,Kamareddy,A.L.No.37/2020, Valid upto01/06/2025

Date : 07/06/2022
Place : Yellareddy

Signature of Notified Authority

Page 3 of 3

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