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Distillery Registration Form

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Pd1Pd2 License No.
Distillary Name
License Type Required !!!
License Issued Date
Group
Valid From
Valid To
Year Of Establishment
Original Installed Capacity
Present Installed Capacity
Distillery Type
Registered Head Office
Mob. No.
Fax No.
E-Mail ID
Address
State
District
Unit Office
Mob. No.
Fax No.
E-Mail ID
Address
State
District
Details Of Chairman
Name
Mob. No.
Fax No.
E-Mail ID
Address
CEO Detail
Name
Mob. No.
Fax No.
E-Mail ID
Address
Work Manager Detail
Name
Mob. No.
Fax No.
E-Mail ID
Address
Licence Type
PD1PD2FL1FL3FL1AFL3ADS1
PESO ComplianceClearance from Environment Ministry
Molasses Store Detail
Sr.No.
Tank Name
Capacity(*Only Numbers*)
Select
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Sprit Storage Vat
Sr.No.
Tank Name
Capacity(*Only Numbers*)
Select
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