CVC Proforma PDF
CVC Proforma PDF
Organization
Citizen Service
Sl.
Name of required item
No.
1.
Copy of the application
format prescribed for the
service.
2.
Details of rules and
regulation for processing
of the application.
3.
4.
Status
Yes
(Annexure-I)
5.
Designation
of
the Incharge of Sub Offices/Regional Offices
authorized persons to headed by Dy. AMA/Asstt AMA/SMO/MO.
issue acknowledgement
for
the
Application
received.
6.
7.
8.
9.
10.
11.
Systems
of
Review,
Revisions and Appeal
against the Orders. If not
so structure, the grievance
redressal
mechanism,
defining the escalation
levels in case of citizen
dissatisfaction.
12.
Website
status
of
organization.
Any
problems in uploading the
downloadable format of
the application form and
posting the process details
of the service with time
limits fixed for the service.
Website : agmarknet.nic.in
Annexure-I.
Application for Certificate of Authorization for grading of decentralized
commodities
To,
The Deputy Agricultural Marketing Adviser/S.M.O.
2.
3.
4.
5.
6.
7.
8.
I/We have carefully gone through the AP (G&M - Act,1937, the appropriate rules made
under the act and the special instructions issued by the Agricultural Marketing Adviser to
the Govt. of India in connection with the grading of
(----------------------)
Name of Commodity) and agree to abide by them as well as those which he might issue in
future.
I/we hereby declare that the information given above is correct & true.
Yours faithfully,
Place
Dated
Signature of the applicant (s)
(status
)
(To be filled in by the forwarding officer )
In view of the particulars given above, I have ascertained the bonafides of the
applicant(s) in regard to his/their capacity for starting & maintaining satisfactorily an
establishment for grading of (commodity name) ____________________ and consider/ do
not consider the applicant(s) to be fit enough to deal with the scheme &, therefore,
recommend/ do not recommend his/ them to the Agricultural Marketing Adviser to the
Government of India for grant of C.A.
Other remarks, if any.
Place
Dated the..
Signature :.
Designation:
ACKNOWLEDGEMENT SLIP
Annexure - II
A.
1.
Application for grant of C.A. in the prescribe Pro forma-I and particulars in
Pro forma II.
2.
3.
Blue Print or neatly drawn sketch of the premises showing all dimensions duly
signed by the authorized person of the firm.
4.
5.
Copy of the consent letter from the legal owner of the premises, in case, the
premises is not owned by the applicant and taken on rent/lease.
6.
7.
8.
9.
Consent letter of the approved laboratory in case, packer desires to grade the
product
through
State
Grading
Laboratory/
Commercial
Laboratory/Association or Cooperative Laboratory in the prescribed Pro forma
IV.
10.
Copy of the food grain storage license for Wheat-atta, Suji, Maida, Besan,
other Cereals and Pulses, etc.
11.
Copy of the Authorisation letter issued by the Ministry of Civil Supplies for the
manufacture and sale of Blended edible veg. oils for blended edible vegetable
oils.
12.
13.
Demand draft for the prescribed processing fee + statutory Service Tax due
thereon as given in Annexure III.
B.
(1)
(2)
Proforma -I
APPLICATION FOR PERMISSION TO PRINTING PRESS TO PRINT AGMARK
REPLICA
To,
The Deputy/Asstt. Agril. Marketing Adviser
Senior Marketing Officer
--------------------------------------------------------------------------------------------Sub:- Permission of the Printing Press .
Sir,
I/We _______________(Name of applicant) of M/S. ________________
(Name of Printing Press ) is /are desirous of printing of Agmark replica on ____
(type of packaging material) for Agmark authorised packers . Our printing press is
situated at _______________ (Address of Printing press) .
I/We have carefully gone through the instructions for permission to the
printing press issued by the Agricultural Marketing Adviser to the Govt. of India.
I/We hereby agree to abide by the instructions issued or that may be issued
in this regard from time to time .
Yours faithfully,
Place:
Date :
Your faithfully,
Place :
Date :
(Signature of the packer with stamp)
PROFORMA II
PARTICULARS TO BE FURNISHED WITH THE APPLICATION FOR
CERTIFICATE OF AUTHORISATION
1.
2.
3.
4.
5.
8.
9.
Yes/No
12.
Nos.
Capacity.
14.
15.
Yes/No
16.
17.
II.
1.
2.
III.
1.
2.
Yes/No
3.
Place:
Date:
Yes/No
P R O F O R M A - III
AFFIDAVIT
(On non-judicial stamp paper of minimum Rs.5/=)
I ______________________________ S/O ________________________aged
_________ years and resident of ________________________________ do hereby
solemnly affirm and state :
1.
that I am the sole Proprietor/ Partner/Director of the firm namely
___________________________________________
situated at_______________________________________.
2.
that the grade designation mark in accordance with the provision of the
A.P(G&M) Act, 1937 and the rules made thereunder, will be applied
at_________________ ________________ (address of the premises).
3.
4.*
that the proposed premises which is situated at________________has been
taken on rent/ lease from _________________(name of
owner) who is the legal owner of the said premises.
5.
that the trade brand label(s) _______________ belong to me/our firm which
is/are registered/not registered with the Registrar of trade marks.
6.
that the trade brand label(s) ________________ shall be used only on Agmark
graded products.
7.
that the packing material used for packing graded products under Agmark is of
"Food Grade" .
VERIFICATION
I _____________________________ solemnly state and verify that the
contents of the above affidavit are true and correct.
(Signature of deponent)
Attested by NOTARY
P R O F O R M A - IV
CONSENT LETTER OF THE APPROVED GRADING LABORATORY
To,
The DY.Agril. Marketing Adviser/
Asstt. Agril. Marketing Adviser/
Senior Marketing Officer
Dte. of Marketing & Inspection
_________________________
2.
We have received request from M/S ____________________________ to
take up their grading work through our laboratory.
3.
At
present,
our laboratory is attending the grading
work
of____________(Nos) authorised packers and we have __________(Nos) approved
chemists in the laboratory.
4.
We can take up the additional work and accordingly hereby give our consent
for taking up the grading work of M/S.__________________ through our laboratory.
5. We do hereby undertake full responsibility to ensure correctness of the
grading, maintenance of proper records and submission of the periodical returns
in respect of the grading work of M/S. ___________________________
carried through our laboratory.
Place :
Date :
Yours faithfully,
Annexure-III
PROCESSING FEE FOR GRANT/RENEWAL OF C.A AND OTHER PERMISSIONS
RELATED TO GRADING
Grant of C.A for Centralised commodities (Internal & Export) and Decentralised
commodities for Export only .
1.
Rs. 2000/=
Rs. 1000/=
Rs. 1000/=
Rs.
500/=
Rs.
200/=
Rs.
500/=
4.
Rs. 2000/=
Rs. 1000/=
5.
Rs. 2000/=
6.
Rs.
500/=
Rs. 1000/=
Rs. 1000/=
9.
Rs. 1000/=
Rs.
10
500/=
Rs. 1000/=
Annexure-IV
Commodity
Charges
1.
Rs. 800/=
2.
Ghee/Butter
Rs. 750/=
3.
Rs. 1000/=
4.
Honey
Rs. 800/=
5.
Other commodities
Rs. 800/=