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FORM C Application for the …

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FORM C Application for the grant/amendment/renewal of a licence to fill and/or store compressed gas in cylinders: Documents listed overleaf must be enclosed with this Application , if it is for the grant of a licence in Forms E and F . The replies to be given in this column. 1. Applicant s name** Applicant's calling Full postal address _____________ _____________ _____________ 2. Situation of the premises where compressed gas is to be stored/filled: State District Town or village Nearest Police Station Nearest Rly. Station _____________ _____________ _____________ _____________ _____________ 3. Nature of each compressed gas proposed to be filled/stored namely: Quantity (a) Toxic (b) Non-toxic and non-flammable (c) Non-toxic and flammable (d) Dissolved acetylene gas (e) Non-toxic and flammable liquefiable gas other than LPG or (f) Liquefied petroleum gas.

FORM C Application for the grant/amendment/renewal of a licence to fill and/or store compressed gas in cylinders: Documents listed overleaf must be enclosed with this application, if it is for the grant of a

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