National Food Authority: Application For License For
National Food Authority: Application For License For
National Food Authority: Application For License For
REGISTERED BUSINESS TRADE NAME PRINCIPAL PLACE OF BUSINESS (NO. & STREET, TOWN / CITY, PROVINCE)
RETAILING
() MAIN OR
STORE BRANCH RURBAN CODE RICE / CORN / OTHERS (TO BE FILLED OUT BY NFA)
LOCATION
NO. (TO BE FILLED BY NFA) CAPITALIZATION LICENSE PLATE NO. / STICKER NO.
M B
1
P
2
WHOLESALING
() MAIN OR
STORE BRANCH RURBAN CODE RICE / CORN / OTHERS (TO BE FILLED OUT BY NFA)
LOCATION
NO. (TO BE FILLED BY NFA) CAPITALIZATION LICENSE PLATE NO. / STICKER NO.
M B
1
P
2
1
P P
2
LICENSE FEE
RETAILING & _______________________________________________________
RETAILING WHOLESALING WHOLESALING SIGNATURE OVER PRINTED NAME OF THE APPLICANT /
AUTHORIZED REPRESENTATIVE
COMBINED
P P P REMARKS / RECOMMENDATIONS (TO BE FILLED OUT BY NFA)
O.R. NO. O.R. NO. O.R. NO.