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F PRC/PMT/IEM/IL (Copy to be enclosed): No and Date Issuing Authority (1) (2) Validity period (3) 17. Particulars of all other places of business/ sales outlets /branches/godowns/ warehouses etc.: Sl. No. Type of business (Branches/ Name and full Tel. No. Fax E-mail godowns/ warehouses, etc. Address (1) (2) (3) (4) (5) (6) Details of branches, godowns, sales outlets outside the State of Karnataka, with full address and Telephone Numbers : 18. Type of business : (i) Manufacturer (ii)Services.

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