Schedule-2
(Relating to Sub-rule (2) of Rule 4)
Date:-……………………

The Breastfeeding Protection and Promotion Committee,
…………………………………………………………
Sir,
I/we have made this application for the approval of that committee to
provide a grant of the following equipment or goods to the following health care
system.
(a) Name of health care system:
(b) Address:
(c) Description of equipment or goods:
(d) Quantity:
(e) Value:
(f) Name of manufacturer or distributor:
(g) Address:
(h) Main objectives and reasons for providing grant:
Applicant’s:
Signature:
Name:
Designation: