Schedule-1
(Relating to Sub-rule (1) of Rule 4)
Date:-…………………….

The Breastfeeding Protection and Promotion Committee,
………………………………………………………….
Sir,
I/we have made this application for approval to obtain the following products for a
value less than its retail price or as a grant from the following manufacturer or distributor.
(a) Name of manufacturer or distributor:
(b) Address:
(c) Name of product:
(d) Quantity:
(e) Value:
Applicant’s:
Signature:
Name:
Designation: