Beruflich Dokumente
Kultur Dokumente
IUPAC Name :
FORM I
(See rule 6)
1. (a) Name, address and status of the applicant. : Mr. DrVenkatesan Subbusamy
General Manager-Registration& Regulatory Affairs
Nagarjuna Agrichem Limited
Nagarjuna Agrichem Limited,Plot No, 12-A, C Block, Lakshmi
Towers,No.8-2-248/1/7/78, Nagarjuna Hills,Punjagutta
2. The common name and trade name of the : Pyrazosulfuron - ethyl 70% WDG
insecticides which the applicant proposes to import
or manufacture.
3. Nature of Application :-
:
(c) name of registered insecticide and
registrant if equivalanence is claimed
4. Address of the premises where the manufacture will : Nagarjuna Agrichem Limited, Plot no 177, Arinama Akkivalasa, P.O.
be done. Allinagaram, Etcherla Mandal, Srikakulam532 403 Andhra Pradesh,
India
Nagarjuna Agrichem Limited, Near Ganti Village, Ravula Palem
Mandal, East Godavari District, Pin: 533 238 Andhra Pradesh, India
Nagarjuna Agrichem Limited,
D.No. 4-208, Ethakota village,
Ravulapalem Mandal, East Godavari District,
Andhra Pradesh - 533238, India
Nagarjuna Agrichem Limited, Survey No 1710 & 1711, Anthireddy
guda road, Nandigaon Village, Kottur Mandal, Mahaboobnagar
District, Andhra Pradesh
(c) Name and address of the supplier if he is : Nissan Chemical Industries Limited
duly authorised by the manufacturer.
: Kowa – Hitot Subashi Building,
7-1,3-Chome,Kanda-Nishiki-Cho’
Tokyo , Japan - 101-0054
7. In the case of formulation, the source of supply of : Nissan Chemical Industries Limited
technical grade material and its status of registration
UnRegistered
8. Chemical Composition :-
Pyrazosulfuron ethyl a.i. (98% w/w 71.4 % w/w
(i) Kind & name of the active & other ingredients : min.)
and the percentages of each.
Naphthalenesulfonic acid, sodium Salt, 6.0 % w/w
polymer with formaldehyde
Sodium lignosulfonate 2.0 % w/w
Chemical Identity:
12. Specific instructions for storage and use including : As per label & leaflets approved by CIB &RC
first-aid and precautionary measures which are
proposed for labelling.
13. (a) Two copies of proposed specification (including : Specifications and Method of Analysis as approved by CIB & RC
method of analysis) for quality of the insecticide in
Bureau of Indian Standard format and its residues
along with one soft copy
14. Seven copies of the proposed labels and leaflets : As per label & leaflets approved by CIB &RC
(including all printed or graphic matter which will
accompany the package containing the insecticide)
as per the Insecticides Rules, 1971.
15. Manner of packing. : Manner of packing shall be as per the specifications approved by CIB
& RC
16. Particulars of fee deposited. : Demand Draft for Rs. 100.00 only
Bearing No. 101821, dated 09/03/2012
drawn on State Bank of India, CAG Branch, Hyderabad in favor of the
Account Officer
Directorate of P.P.Q. & S., Faridabad.
VERIFICATION
I, Mr. DrVenkatesan Subbusamy S/o Subbusamy do hereby solemnly verify that to the best of my knowledge and belief the information
given in the application and the annexure and statements/ accompanying it, is correct and complete. I clearly understand that the
certificate of registration is liable to be cancelled if any information or data, submitted with the application is found incorrect or false at any
stage or any condition of registration granted against this application is violated.
I further declare that i am making this application in my capacity as General Manager-Registration& Regulatory Affairs and photo/ attested
copy of which is enclosed herewith.
Place: Hyderabad
NOTE:
(1) The application form including the verification portion and Supplementary Information Form, must be signed in case of an individual, by
the individual himself or a person duly authorised by him; in case of Hindu undivided family, by the Karta; in case of a partnership firm, by
the managing partner; in case of a company, by a person duly authorised in that behalf by the Board of Directors, and in any other case,
by the person incharge of or responsible for the conduct of the business.
(2) One Self-addressed stamped enveloped and adequate number of stamped envelopes, depending on the states where manufacturing
premises is/are located must be enclosed along with the application.