124732
124732
124732
ACKNOWLEDGEMENT
(See clause 8(3))
NEW
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
Page 1 of 3
FORM A-2
ACKNOWLEDGEMENT
(See clause 8(3))
NEW
1 2 3 4 5
Date : 07/06/2022
Place : Yellareddy
Page 2 of 3
FORM A-2
ACKNOWLEDGEMENT
(See clause 8(3))
NEW
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
Date : 07/06/2022
Place : Yellareddy
Page 3 of 3