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*Controller/Deputy Controller/
Assistant Controller of Trade Descriptions,
Enforcement Division,
Ministry of Domestic Trade
and Consumer Affairs,
. . . . . . . . . . . . . . . . . . . . . . . . .

If the space provided is not sufficient to provide details, please attach annexure(s). Each annexure must be signed by the applicant.

1. PARTICULARS OF APPLICANT

(a) *Name of Applicant/Business/Company: . . . . . . . . . . . . . . . . . . . . . . . . . ..

(b) Registration No.: . . . . . . . . . . . . . . . . . . . .. and Registration Date: . . . . . . . . . . . . . . .

(c) Business Licence No.: . . . . . . . . . . . . . . . .(City Hall/Municipality/Local Authority)

(d) Registered Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..

(e) Telephone No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(f) Correspondence Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(g) Address of *Branch/Branches and Telephone No.: . . . . . . . . . . . . . . . ..

(h) Business Status: - *Sole Proprietor/Partnership/Limited/Others

(i) Type of Business Registered: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(j) Principal Business and Field of Operations: . . . . . . . . . . . . . . . . . . . . . . . . ..

2. PLACE OF SALE BY CHEAP SALE PRICE

(a) State the address of business premises (including branches) where the sale at cheap sale price is going to be held:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. PARTICULARS OF SALE

(a) State the duration of the intended sale at cheap sale price to be held: From . . . . . . . . . . . until . . . . . . . . . . . . . .

(b) State how many sales at cheap sale price in the current year: . . . . . . ..

(c) State the percentage of the goods which are intended to be supplied or offered to be supplied at cheap sale price in the said premises: . . . . . . . . . . . . . . . . . . . . . per cent (%).

(The computation of percentage should be based on the whole volume of the goods that are displayed in the said premises).

4. AFFIRMATION

*I/We hereby declare that all the particulars stated in this Form are true and accurate. *I/We understand that any false statement made in this Form shall be an offence under the Trade Descriptions (Cheap Sale Price) Regulations 1997.

. . . . . . . . . . . . . . . . . . . . . . . . . (Signature)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Company's Seal

Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Designation: . . . . . . . . . . . . . . . . . . . . . . . . .

I.C. No.: . . . . . . . . . . . . . . . . . . . . . . . . . . ..

Dated: . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..

_________________________________________
* Delete whichever is not applicable.

Office Use
Date Received	Cheap Sale Registration No.

Made 21 October 1997.
[B. PGK. 0.500113 Jld. 18; PN. (PUČ) 120/II.]