Forms – ‘A’ TO ‘R-1’



FORM A
[See rule 17 (1)]

Application for licence under section 10
To
The 1[Licensing Authority],
State Agricultural Marketing Board,
...................................................
Through
The Secretary, Market Committee, ...............
Sir,
The particulars of my business are given below:-
2[1. Name of the applicant with full address, his photograph duly attested and an attested copy of ration card or a copy of passport or a copy of driving licence]. _______________________
2. Place of business for which licence is applied for (give the name or number of the building and the name or number of the street or other description sufficient to identify the premises). _______________________
3. If the applicant is a firm, is it a Hindu Joint Family Firm or otherwise constituted and has it been registered or not? _______________________
3[ 4 If the applicant is a firm, the name of all person constituting the firm with parentage, address, duly attested photograph of one of the partners and an attested copy of ration card or copy of passport or copy of driving licence.] _______________________
4-A If the applicant is a company, duly attested photograph of one of the directors of the company]. _______________________
5. Name of the Managing Proprietor or Manager of the Firm. _______________________
6. Name and style under which the applicant will work. _______________________

1. Substituted vide Notification No 11(13) –M-I-83/21424 dated 13/14-10-87.
2. Substituted vide Notification No.G.S.R 44/P.A.23/61/S.43/Amd.(53)199 dated 9-4-1999.
3. Substituted vide ibid.

 
7. Has the applicant or, where the applicant is a firm, has any member thereof, singly or in collaboration with anybody else, been granted a dealer’s licence in any notified market area in the State and has suspended or cancelled ? If so, when for what period and for what reasons. ___________________
8. Particulars of the business for which the licence is required. Certified that the facts set out-in the application are true to the best of my knowledge, I undertake to abide by provisions of the Agricultural Produce Markets Act, 1961, rules and bye-laws made thereunder. ___________________
I shall be responsible for all acts of my employees.  

It is requested that a licence under section 10 of the Punjab Agricultural Produce Markets Act, 1961,
may kindly be granted to me.


Signature of applicant


To be filled in the office of the committee :-


Licence fee Received No. of receipt Date of receipt Page of Cash-book where entry made
       



Verified
Secretary,
Market Committee                                                                                        Accountant,
............................                                                                                    Market Committee



FORM B
[See rule 17 (7)]

Application for licence under section 10


This licence is granted to M/s ___________________________________ subject to conditions prescribed
hereunder :- Notified market area ____________________________________________
1. Serial No. of licence___________________________________________
2. Name of the Managing Proprietor or Manager _________________________________________
of the firm with parentage.
3. Date from which the licence takes effect._____________________________________________
4. Date on which the licence expires.________________________________________
5. Particulars of business for which the licence is valid. ___________________________________________
6. Place of business_______________________________________________



Place .........                                                                                   1[Secretary]
Date ..........                                                                                   State Agricultural Marketing Board.
CONDITIONS OF LICENCE

1. The licensee shall comply with the provisions of the Punjab Agricultural Produce Markets Act, 1961, rules bye-laws framed thereunder and instructions issued from time to time.
2. He shall not permit evasion or infringement of any of the provisions of the Act, the rules and bye-laws and shall report in writing to the Market Committee any evasion or breach which comes to his knowledge.




1. Substituted vide Notification No. 11 (13) – M-1-83/21424 dated 13/14.10.1987.

3. He shall surrender his licence, on demand, to the 1[Secretary] of the Board or any other officer uthorized by him in this behalf or the Chairman of the committee against a receipt to be given to the licensee in this connection.
4. He shall conduct his business honestly and properly according to the principles of their dealings.
2[4-A. He shall carry on his business in the principal market yard, or sub-market yard or at his place of business, specified in the licence].
5. He shall display his licence at a conspicuous place on his business premises.
6. He shall keep his business premises clean and in a suitable condition for storage of agricultural produce.
7. He shall not boycott or encourage boycott of any other licensee.
8. He shall not indulge in activities and practices which are detrimental to the interest of the trade and proper functioning of the market.
9. He shall not take or continue in his service any licenced broker, weighman, measurer, surveyor or palledar.
10. He shall be responsible for the safe custody and protection of the agricultural produce brought to his shop for sale or storage.
11. He shall not form a pool or combination with other buyers for eliminating competition and shall not make or abet an attempt to do so in order to deprive the seller of a fair price of his produce.
12. He shall, on the expiry or sooner termination of the licence, surrender the same to the committee.
13. He shall, when desired by the committee or any officer uthorized by it, furnish correct information on the matters pertaining to his business relating to sale and purchase of agricultural produce under the Act.




1. Substituted vide Notification No. 11 (13) – M-I-83/21424 dated 13/14.10.1987.
2. Inserted vide Notification No. 18 (25) – M-I-81/5246 dated 14-03-1988.


FORM C
[See Rule 17 (8) and 19(8)]

Register of licence issued under section 10/13


1. Notified market area ________________________________
2. Name of the firm ___________________________________
3. Address of the premises ______________________________
4. Name of Managing Proprietor or Manager with parentage _____________________________
5. Licence No. _______________________________________
6. Nature of Licence ___________________________________
7. Name of the partner __________________________________


Serial No. Name Father’s Name Address
       



1 2 3 4 5 6 7
Date of entry Date from which the licence takes effect Date on which the licence expires Licence fee received Receipt No. and date Signature of issuing authority with designation Remarks
             



FORM D
[See Rule 19(1)]

Application for licence under section 13


To
The Chairman,
Marketing Committee,
...................................................

Sir,
The particulars of my business are given below:-
1. Name of the applicant with parentage, residence and address in full _______________________
2. If the applicant is a firm, is it a Hindu Joint Family Firm, or otherwise constituted, and has it been registered or not? _______________________
3. If the applicant is a firm, give the names of all persons constituting it with .parentage, residence and address, in full of each.
Serial No. Name Father’s Name Address
       

4. Name of the managing proprietor or manager who will actually conduct the business. _____________________
5. Name of style under which the applicant will conduct his business. ______________________
6. Does the applicant wish to be licenced as a broker/ weighman/ measurer/surveyor/godown keeper/ palledar ? ______________________
7. Has the licence, if any, granted previously to the applicant, or if the applicant is a firm, to any member thereof, singly or in collaboration with any body else for working as a broker, weighman, measurer, surveyor, godown keeper or palledar in any notified market area been cancelled ? If so, where, when, for what period and for what reasons?


    Certified that the facts sets out in the application are true to the best of my knowledge. I understand to abide by provisions of the Punjab Agricultural Produce Markets Act, 1961, and rules and bye laws made thereunder .
1 shall be responsible for all acts of my employees.
It is, therefore, requested that the licence under section 13 of the Punjab Agricultural Produce Markets Act, 1961, may kindly be granted to me.


Signature of the applicant


Notes: (1) A licence to work as a weighman, a measurer or a surveyor shall only be granted to individuals and not to firm.
            (2) In case the application is made by a firm, it may be signed by the managing partner only.

To be filled by Office

Licence fee Received No. of receipt Date of receipt Page of Cash-book where entry made
       



Verified
Secretary,
Market Committee                                                                                       Accountant,
............................                                                                                   Market Committee



FORM E
[See rule 19 (2)]

Licence under section 13


This licence is granted to M/s _______________________________(name of the person or firm with full address) for doing his business as broker /weighman, measurer/ godown-keeper/ palledar or surveyor in the notified market area ________________________________________________ ).


1. Serial No. of licence___________________________________________

2. Name of the Managing Proprietor _________________________________________

3. Date from which the licence takes effect._____________________________________________

4. Date on which the licence expires.________________________________________

5. Place of business_______________________________________________







Place ..............
Date ................
Signature of authority
with seal



CONDITIONS OF LICENCE

1. The licensee shall comply with the provisions of the Punjab Agricultural Produce Market Act, 1961, and rules and bye-laws framed there under and uthorized s issued from time to time.

2. He shall not permit evasion or infringement of any of the provisions of rules and bye-laws mentioned under (1) above, and will report in writing to the committee any evasion or breach which comes to his notice.

3. He shall surrender his licence on demand to the committee or any other officer uthorized by the committee in writing in this behalf.

4. He shall conduct his business honestly and properly according to the principles of fair dealings.

5. He shall not boycott or encourage boycott of any other licensee.

6. He shall not indulge in activities and practices which are detrimental to the interest of the trade and proper functioning of the market.

7. The licensee, except the godown-keeper, shall not accept any service under the dealer.

8. If the licensee is a weighman, measurer or surveyor, he shall abide by such arrangement which may be made by the market committee with a view to ensuring the availability of their services as and when required. The licensee shall bear the badge provided to him by the market committee, during the hours of his business.

9. If the licensee is a godown-keeper, he shall keep his godown neat, clean and tidy to the satisfaction of the committee.


FORM F
[See Rule 21(1)]
Application for the renewal of licence under section 10.
To
The *[Licensing Authority],
State Agricultural Marketing Board,
...................................................
Through
The Secretary, Market Committee, ...............
Sir,
I request for the renewal of my licence. The necessary particulars are given here below:

1. Name of the notified market area for which the licence has been issued.
_____________________
2. Name of the applicant (with full particulars of the place of business)
_____________________
3. Name of the Managing Proprietor or the Manager of the firm, if any
_____________________
4. Number of licence
_____________________
5. Date on which the licence expires
_____________________
6. Period for which renewal is requested
_____________________
7. Fee paid
_____________________
8. Penalty paid, if any
_____________________
9. Has the applicant or where the applicant is a firm, has any member thereof singly or in collaboration with anybody else, been
_____________________
(a) Granted a dealer’s licence in any notified Market area in the State and has such Licence been suspended, or cancelled. If so, when, where, for what period and for what reasons; or
_____________________
(b) Convicted on an officers affecting the said person’s integrity as a man of business. If so, the date of conviction; or
_____________________

* Substituted vide Notification No. H (13)- M-I-83/21424 dated 13/14-10-87.
  
(c) Declared as an undischarged insolvent certified that the facts set out in the application are true to my knowledge
_____________________


Date:________________
Signature of the applicant



(To be filled in by the office of the committee)

Renewal licence fee received Penalty received if any No. of receipt Date of receipt Page of cash book where entry made Remark
           

No. ___________________ Dated __________________



Accountant
Market Committee,
________________________


Contents of the application verified.
Forward to the *[Licensing authority], State Agricultural Marketing Board, ____________ for necessary action.

Secretary
Market Committee,
________________________


Report by the office of the *[Licensing authority], of the Board
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Dated:________________
Orders of the Licensing Authority
________________________
Signature with Designation



* Substituted vide Notification No. H(13)- M-I-83/21424 dated 13/14-10-87.

FORM G
[See Rule 21(1)]
Application for the renewal of licence under section 13.

To
The Chairman,
Market Committee,
..........................................
Sir,
I request for the renewal of my licence. The necessary particulars are given here below:

1. Name of the notified market area for which the licence has been issued.
_____________________
2. Name of the applicant (with full particulars of the place of business)
_____________________
3. Name of the Managing Proprietor or the Manager of the firm, if any
_____________________
4. Number of licence
_____________________
5. Date on which the licence expires
_____________________
6. Period for which renewal is requested
_____________________
7. Fee paid
_____________________
8. Penalty paid, if any
_____________________
9. Has the applicant or where in the case of a godown keeper the applicant is a firm, has any member thereof singly or in collaboration with anybody else, been granted a licence for working as a broker, weighman, surveyor or godown keeper or palledar in any notified market area in the State and has such licence been suspended, or cancelled. If so, when, where, for what period and for what reasons.
_____________________


Certified that the facts set out in the application are true to my knowledge.





Signature of the Applicant
Date: _______________






To be filled in by office of the Committee


Renewal licence fee received Penalty received if any No. of receipt Date of receipt Page of cash book where entry made Remark
           



Verified
Secretary,
Market Committee                                                                                        Accountant,
............................                                                                                    Market Committee


FORM H
[See Rule 24(8)]
Auction Register


[See Amendment]
FORM I

[See Rule 24 (12) and 24 (13)]
Name and address of Seller Descripti-on of produce Approx—imate Qty. Rate at which the produce is sold Name of buyer Signature Katcha Arhtiya andbuyer.
               










*FORM HH
[See Rule 24(8 - A)]
Register of agricultural produce which remained unsold during auction

Date of first auction Name of seller Name of Kacha Arhtiya Name of agricultural produce Approx. weight Sign. Of Kacha ArhtiFilling Sewing Charges _______
Other Charges ________ td height="208"> 
         


Date of subsequent auction Rate at which agricultutal produce has been sold Name of buyer Sign. Of Buyer Remarks
7 8 9 10 11
         



* Inserted vide Notification No. 11 (13) – M-III 83/9379 dated 04/05/1988.
[See Amendment]
FORM I
[See Rule 24 (12) and 24 (13)]
Bill of Kacha Arhitya

Counterfoil __________________

Book No. _________________________________________

Serial No. _________________________________________

Name of the Market _________________________________

Name of Kacha Arhitya _______________________________

Name of Buyer ______________________________   Dated: ______________________

Name of Commodity Weight Rate Total Market Charges Grand Total
   
Rs.
Rs.
Rs.
Commission _________
Brokerage __________
Palledari ____________
Filling Sewing Charges Other Charges ________
Total ________________
Rs.


Acknowledgement by the buyer                                                                                       Signature of Kacha Arhitya


* Inserted vide Notification No. 11 (13) – M-III 83/9379 dated 04/05/1988.
[See Amendment]
FORM J
[See Rule 24 (14)]
Sale Voucher for the seller

Counterfoil __________________

Book No. _________________________________                    Serial No. __________________________________

Name of the Market _________________________________    Date of Auction ______________________________

Name of Kacha Arhitya _______________________________    Address of seller ___________________________

Name of Seller ______________________________

Name of Commodity Name of the Buyer Weight Rate Total Incidental Charges Net Amount Paid
   
 
Rs.
Rs.
Rs.
Rs.


Signature of seller, his                                                                                       Signature of Kacha Arhitya
agent or representative

Note:- Where the agriculture produce, being vegetable or fruit is delivered, it shall not be necessary to fill the column 2
relating to name of buyer.
FORM K
[(See rule 29 (4))]

Book No. Receipt No.
Receipt



Market Committee __________________________________

Date of receipt _____________________________________

Nature of receipt ___________________________________

Amount received ____________________________________

Received from ______________________________________


Signature of Person
receiving payment








1[FORM K-1]
(See Sub-rule (I-A) of rule 30)
Form of Declaration Certificate.

Kind of agricultural produce extracted or manufactured from agricultural produce Vehicle No. Weight Where bought Agricultural produce from which extracted or manufactured Name of seller
1 2 3 4 5 6


Name of buyer or his agent Market Committee to which fee paid Amount of fee paid Receipt No. and date. Remarks
7 8 9 10 11


I hereby certify that the above mentioned agricultural produce has been brought from out side the limits of notified
market area _________has been brought within the limits of notified market area ____________for the purpose of
___________and that the particulars given above are correct.



Signature of the firm ______________
(Stamps)                                               




1. Substituted vide Notification No. GSR-85/P.A.23/61/S.43/Amd (27)/89 dated 21-11-1989, published in the Gazette dated 01-12–1989.

1[FORM K-2]
[See sub-rule (9) of rule 30]
Form of Declaration Certificate.

Kind of agricultural produce Vehicle No. Weight Where bought Name of seller
1 2 3 4 5


Name of buyer or his agent Market Committee to which fee paid Amount of fee paid Receipt No. and date. Remarks
6 7 8 9 10




I hereby certify that the above mentioned agricultural produce has been brought from outside the State of Punjab and that the particulars given above are correct.


Signature of the firm ______________
(Stamps)                                               




1. Form K-2 added vide Notification No. GSR 52/18 P.A 23/61/S.43/Amd. (38)/94 dated 24-08-1994, published in the Gazette dated 25.8.1994

1[FORM K-3]
[See rule 30(10)]
Sr. No. Name of the firm Kind of agriculture produce Value of agriculture produce Date of ‘M’return submitted Amount of market fee/rural development fund paid Receipt No. and date of payment of fee
1 2 3 4 5 6 7


Date of export of agricultural produce and name of country Document duly attested by the Punjab agriculture Export Corporation Punjab, Ltd. As proof of export.
8 9




I hereby certify that the above mentioned agricultural produce has been exported as mentioned above and that the particulars given above are correct.




Signature of the firm ______________
(Stamps)                                               








1. From K-3 added vide Notification No. GSR 61/P.A 23/61/S.43/Amd. 45/98 dated 11.6.1998.

1[FORM K-4]
[See rule 30(11)]


Sr. No. Name of the firm Quality and Quantity of paddy/Rice Value Date of ‘M’return submitted
1 2 3 4 5


Amount of Market fee/Rural Development Fund paid Receipt No. and Date of payment fee Date of export of Agricultural produce and name of country Export documents duly attested by competent authority
6 7 8 9




I hereby certify that the above mentioned agricultural produce has been exported as mentioned above and that the particulars given above are correct.




Signature of the firm ______________
(Stamps)                                               





1. Form 'K-4’ added vide Notification No. GSR 63/61/ P.A 23/61/S.43/Amd. (48)/98 dated 3.9.1998.

1[FORM KK]
[See rule 29(1)]
Form of Declaration and Certificate.

Kind of Agricultural produce Mode of transport with Number of bags/package Weight Notified market area from where produce was purchased and market fee paid Name of seller
1 2 3 4 5


Amount of fee paid with Number and date of receipt Through whom purchased Name and Address of the buyer and his agent Remarks
6 7 8 9




I hereby declare that the particulars given above are correct.
Signature of the Dealer ______________
License No. ______________________
Address _________________________
________________________________



I hereby declare that the above mentioned agricultural produce has been bought from the notified market area _____________and has been brought within the limits of the notified market area ___________for the purpose of ____________ and that the particulars given above are correct.

Signature
Address of the Dealer claiming
Exemption of market fee.
Address ______________________
License No. ___________________





1. Form KK added vide Notification No. GSR/64/P.A 23/61/S.43/Amd. (49)/98 dated 4-9-198

FORM L
[See rule 30(2)]
Register of Processors

Date of purchase Name of agricult-ural produce Notified market area where purchases were made. Weight of the agricultural produce Date of payment of fee Name of extracted commodity Weight of the extracted commodity and date of extraction Remarks
1 2 3 4 5 6 7 8






















FORM M
1[See rule 29 (3) and 31(1)]
Return of daily purchase and sales

Market Committee _________________________

Counterfoil _________________________

Date _________________________________

Name of the Dealer _________________________________    Licence No. ______________________________

Last date when market fee paid with receipt no.

PURCHASED

Date of transaction Name of commodity Name of seller from whom purchased Weight Rate Value Whether fee is leviable or not, why? Amount of fee leviable *[(a) from buyer (b) from producer (c) Total]
1 2 3 4 5 6.
7. 8.
               


SOLD

Name of buyer to whom sold Weight Rate Value Whether fee is leviable or not, why? Amount of fee leviable *[(a) from buyer (b) from producer (c) Total] Remarks
9. 10. 11. 12. 13. 14.
15.
             




Total ________________                                                                                        Total ____________



Signature of the Dealer

(Note:-In case of dealers dealing exclusively in vegetable or fruit, it shall not be necessary column-7 relating to “Name of buyer to whom sold”).

1. Substituted vide Notification No. GSR 25/P.A.23/61/S-43/Amd. (26)/89 dated 15-02-89.
* Inserted vide Notification No. GSR 154/P.A. 23/61/S.43/Amd. (22)/82 dated 29-11•82.


FORM N
[See rule 31(2)]


Market Committee ________________________________Year _____________ Month ______________________


1 2 3 4 5 6
Date Description of the agricultural produce sold Name with the number of licence of dealer Quantity of agricultural produce sold Rate Value of agricultural produce
    as Seller as Buyer          
Monthly Total            


7 8 9 10 11 12
Wheather fee is leviable if not why? Fee chargeable Fee recovered No. and date of the receipt issued Balance of fee to be recovered Date of recovery of balance
           
Monthly Total          




FORM O
[See rule 31(4)]
Assesment Notice

To
M/s_________________
Whereas
(a) You, a dealer license No._________and licensed under section 10 of the Punjab Agricultural Produce Markets Act, 1961, of the _________notified market area, have not furnished return/correct return in Form M for the period from _________to _________
(b) You, a dealer license No. __________ and licensed under section 10 of the Punjab Agricultural Produce Markets Act, 1961, of the _________ notified market area, have habitually made default in the submission of return for the period from _________to _________
and it appears to the committee that you uthorize failed to furnish such returns in respect of the above mentioned period.
And it appears to be necessary to make assessment under rule 31 of the Punjab Agricultural Produce Markets (General) Rules, 1962, in respect of the above mentioned period.
You are hereby directed to attend in person or by an uthorized agent at (place) ___________on (date)__________at time__________and produce, or cause to be produced at the said time and place the accounts and documents specified below for the purpose of such assessment, together with the objections which you may wish to prefer and any evidence you may wish to adduce in support thereof and to show cause why in addition to the market fee levied on the basis of assessment a penalty prescribed under rule 31(9) of the said rules should not be imposed upon you.


In the event of your failure to comply with this notice, the committee shall proceed to assess under rule 31 (8) of the said rules to the best of its judgement.


1[Assessing Authority]
Market Committee,

Dated _____________


1. Substituted vide Notification No. G.S.R. 19/P.A. 23/61/S.43/Amd. (51)/99 dated 15-3-1999.

FORM P
[See rule 31(11)]
Demand Notice
Market Committee _________________

No. ____________________________          Dated ___________________________
M/s_________________
________________________
You. Are hereby informed that your business during the period from ________ to _____________has been assessed for levy of market fee and penalty, etc., as under :-
(a) Assessed value of business                _________________________________
(b) Market fee chargeable                _________________________________
(c) Deduct Market fee already paid, if any               _________________________________
(d) Net payable (b-c)                _________________________________
(e) Penalty                _________________________________
(f) Total (d+e)                _________________________________
You are hereby directed to pay the sum of Rs. _____________ to the Market Committee _________________ at its office at (place) _____________ on or before (date) ___________ failing which the said sum will be recoverable from you as an arrear of land revenue.





1[Assessing Authority]
Market Committee,
__________________


1. Substituted vide Notification No. G.S.R. 19/P.A. 23/61/S.43/Amd. (51)/99, dated 15-3-1999.

1[FORM Q]
[See rule 30 - A]
Name and address of the consignor alongwith Licence Number

1. No. and description of vehicle      _________________________________

2. Date and time of departure          _________________________________

3. Name of agricultural produce      _________________________________

4. Quantity                                     _________________________________

5. Name of Market committee,
where fee is paid [see amendment] or to be paid _________________________________

6. Name and address of consignee _________________________________










Signature of Consigner
with stamp




1. Form ‘Q’ inserted vide Notification No. 11/9/2000-M-3/1663 dated 20.3.2002.

1[FORM R]
[See rule 24(1)]


Name of Licensee__________________________           Licence No. _____________


Sr. No. Date of transaction Name and Address of the producer Name of the Agriculture produce Approx. weigh of produce Rate of the produce Mode of transporta-tion with type of vehicle and number Actual weight Signature of the producer seller/ seller Remarks
1 2 3 4 5 6 7 8 9 10
                   








1. Added vide Notification No. GSR 30/P.A. 23/61/S.43/Amd. (52)/99 dated 30.3.1999, published in the Gazette dated 1.4.1999.

1[FORM R-1]
[See rule 24(1)]


Name of Licensee__________________________           Licence No. _____________


Sr. No. Name of the producer/ seller Name of the agricultural produce Actual weight Rate Amount of market fee payable Remarks
1 2 3 4 5 6 7
             




I hereby certify that the above mentioned information and particulars given above are true and correct.


(Signature of Licensee)
Name of the Firm



1. Added vide Notification No. GSR 30/P.A. 23/61/S.43Amd. (52)/99 dated 30.1.999, published in the Gazette dated 1.4.1999.