License
collect, sell, import or export
controlled seed for commercial
---------------------
writing ......... ..............................................
day .. ......................... ......... months. Since ............ ......
1. I................................................. .................................................. .....................................
() 1.1 is an individual Age Year nationality................................................. .......
identity card or another card. (specify)............................................... ......number.......................................... .......
out at the district / county ..................................... ...................................province.............. ...............................................
Residing The .................................. Lane / Road ............ .......................................Road.......... .......................................
among the ......... ............... District / Sub ................................ District .................. ............................... .....................................
............ Province ................................Zip code................ The telephone number ................................ ................ .......
() is an entity type ..................................... 1.2 .................................................. ...........
registered at................................................. ........ months on .................. .................... ........ BC. ....................
Registration on ................ .................................................have Headquartered No. ............................................ ....
Lane / Road ........................................... ..........Road....................................... Among .......................... ...................... .....
District / Sub-District ....................................... / county. .............................................province.... ..........................................
ZIP code ...... .................................................. . Telephone ............................................... ......................
by .......................... .................................................. ....................................... an authorized representative
2. I wish to apply for a license
() 2.1 collect seed control for Trade
() 2.2 for seed control
() 2.3 to import controlled seed for commercial purposes
() 2.4 exported controlled seed for commercial
companies. East West Seed Osmosis H. limited
liability company
, partnership, company registration office
in Nonthaburi Province August 21, 2549
0125549009829 50/1
- Noi - Bang 2
Sai Noi Nonthaburi
11150 02-831-7700
Mr. Michel Philip Anderson. Spider Web Ferrer Ferrer Navarro.
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