Insecticides Rules, 1971- Form II

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FORM II
GOVERNMENT OF INDIA
MINISTARY OF AGRICULTURE
(Department of Agriculture)

CERTIFICATE OF REGISTARTION OF INSECTICIDES
[Rule 6(4)]

Certified that the insecticide ____________has been registered in the name of the person/ undertaking whose particulars are specified below:

1. Name of the person/ undertaking:

2. Address:

3. Registration No.

4. Name of the insecticide
(Brand name or trade name or chemical name of the insecticide, details there of regarding its composition, etc.)

5. Condition if any

New Delhi, the _____________2000

Signature_________________

Seal of Department___________

FORM II-A
GOVERNMENT OF INDIA
MINISTARY OF AGRICULTURE
(Department of Agriculture and Cooperation)

CERTIFICATE OF PROVISIONAL REGISTRATION OF INSECTICIDES
[Rule 6]

Certified that the insecticide _____________________ has been registered in the name of the person/ undertaking whose particulars are specified below provisionally for as period of two years effective from the date of issue:_____________________

1. Name of the person/ undertaking:

2. Address:

3. Registration No.

4. Name of the Insecticide:

(Brand name or trade name and chemical name or trade name and chemical name of the insecticide, details composition)

5. Condition if any:

(i) __________________________________________________

(ii) _________________________________________________

(iii) _________________________________________________

New Delhi, the _________20

Signature_____________

Seal of the Department_______________

FORM II-B

APPEAL UDER SECTION 10 OF THE INSECTICIDE ACT, 1968
TO THE CENTRAL GOVERNMENT
[Rule 7]

To
The secretary,
Ministry of Agriculture,
(Department of Agriculture and Cooperation),
New Delhi,

Appeal No_______of 2000

1. Name and Address of the Applicant:

2. Address of manufacturing unit:

3. Name of the Insecticide:

4. Date of order appealed against:

5. Date of communication of the order:

6. Whether the appeal is within limitation period:

7. Particulars of the fee deposited:

8. Relief claimed in appeal:

9. Address to which notice may be sent to the applicant

*Statement of Facts

*Grounds of Appeal

Signature (Appellant)_________

*(Please give each ground in a separate paragraph and number it).

Signature (Appellant)_________

VERIFICATION

I_____________S/o__________________the appellant, do hereby verify that what is stated above is true to the best of my knowledge and belief:


Date: ______________________
Place:________________________

Signature (Appellant)_________

Note :

The appeal must be preferred in duplicate and must be accompanied by a copy of the order appealed against.The form of appeal, ground of appeal and the form of verification must be signed in case of an individual by the individual himself or a person duly authorized by him; in case of Hindu undivided family by the karta, in case of a partnership company, by the magazine partner; in case of a company, by a person duly authorized by the Board of Directors and in any other case, by the person incharge or responsible for the conduct of the business.

FORM - C

APPLICATION FOR PERMISSION TO IMPORT SMALL QUANTITY OF INSECTICIDES/CHEMICALS FOR THE PURPOSE OF EXAMINATION, ANALYSIS, TESTS AND TRIALS
1 Name of Importer with full Address.

2. Name of overseas manufacturer and the supplier

3. Name of Chemical
i) Code Number
ii) Common accepted name:
iii) Chemical name:
iv) Whether included in the Schedule to the Insecticides Act, 1968.

4 a) Toxicity (LD 50 value):
i) Oral Laboratory:
ii) Dermal animals
b) Whether manufacture, sale, distribution or use is prohibited in the country of its manufacture or any restrictions have been imported thereon. If so, please give full details.

5. Main active group to which the chemical belongs.

6. Specific purpose for which the chemical required.

7. Crops / pests against which this is proposed to be tested.

8 a) Name of Institution where it is to be tested in the country.

b) Name & designation of the person under whose supervision tests are to be conducted.

9. Quantity asked for and likely area to be covered.

10. Type of packing

11. Port of landing / entry

12. Whether being imported as free sample and if so its nominal value

13. Whether any examination, analysis, tests or trials are already being carried on in the country and if so, please give details.


Signature of the applicant:__________________

Name of the applicant:___________________

VERIFICATION

I, ___________________________ S/o Shri __________________________ resident of _____________________________________________________________ do hereby verify in my capacity as ___________________________________________ authorized signatory of ______________________________________________________________ that the particular given above are true and correct and that I am competent to sign and verify the above application.

Place: Signature_________________

Date:______________ Name____________________

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