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ApplicationForBottelingRegistrationExistFL1A_FL3A Portlet

Application For Bottling Registration (All fields are required)
Name Of Appling Unit
Unit Address
State
Mobile No.
Email
Operative At
Existing FL-1A Licence No.
FL-1A Licence Date
FL1A Valid till Date
Existing FL3A Licence No.
FL3A Issue Date
FL3A Valid Till Date