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ljull Address Yiilage Post-O0-ice Thana Teirsil District l r-.3 | 'r* |.*lp f3 l3 r:3 TS-!t:fif:IE .qIt {wi: | -r- l< '€i ll |.1-__._ ,l {l 7 , Nunrber"of crushr:r:s for rvlriclr is lecluir:e cl r.virh theii sir*iilj" to crush caner per day B, Nuurbel lucj clate oJl the iicence irr caso of tetrctval Signature of tte appiicant. iruve lead I i \ lioence capaciLy pl evlOus tlie provi$io n of the l-IuLyana Cur and undclstrrnd tlrat liceucqissuecl 1o of,Ure Or'der aud that any breeiiii amourlt to a breach of tire Or:rjer', I/We declat'e that to altrrve ihfdr:natiou is corlect tlie best trf rny/out infot'ntatiou and belief tire iurd conrplelc. . signututa oI the Applictrnt.. Yrl 'Dlnne ' Dated ;