Other Special Purpose - Solvent for Extraction in Cannabis Manufacturing

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This application is used to obtain a permit by registered companies or institutions in Nova Scotia who require alcohol for the purpose of use as a solvent in the extraction process in cannabis manufacturing. Operations are to comply with the Province of Nova Scotia LIQUOR CONTROL ACT, REGULATIONS and POLICY GUIDELINES, NS Cannabis Control Act, and Bill-C45 - The Federal Cannabis Act.

Please note that permits expire annually on December 31

Applicant Information

Name

Title

Address Line 1

Address Line 2

City

Postal Code

Province

Country

Primary Phone

Secondary Phone

Cannabis Producer Information

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Cannabis Producer Name

Address Line 1

Address Line 2

City

Postal Code

Province

Country

Primary Phone

Secondary Phone

Corporation Information

If this is your first year registering, please supply Registry of Joint Stock Companies registration information.

Registration Number

Company Name

Health Canada License Info

Please complete the relevant information

Select if incorporated

Inc. Date

List Laws

Years

Capital

Officer Information

Names of Officers, Directors and/or Shareholders and Holding Companies, if any

Add

Name

Role

Remove

Alcohol Requirements

Yearly quantity of pure alcohol required

Quantity Litres

Usage

Purchasing Store

If purchasing any product from a Non-NSLC source, please provide details.

Company Name

Company Address

Company Phone

Premises Requirements

List all premises occupied by the Company (include all locations, street address, and purpose i.e. plant, warehouse, etc.) where alcohol will be used and/or stored.

Add

Name

Street Address

Purpose

Remove

Declaration Information

I understand and acknowledge that the information provided by me on this Application is true, complete and correct, to the best of my knowledge and belief. I understand that a false statement may be considered sufficient reason to withhold or cancel the issuance of my Permit(s).

I also understand that by issuance of this Permit, my responsibility and obligation to adhere to the Nova Scotia Liquor Control Act, Regulations, Policies & Procedures, NS Cannabis Control Act, and Bill-C45 the Federal Cannabis Act as well as any special conditions and changes which may, from time to time, occur.

I declare that I am at least 19 years of age.

Check this box to accept the declaration.

Select Payment Type

The application fee can be paid by cheque, money order, cash or credit card. Cash transactions can only be made in person at the Head Office.

Credit Card

Cheque or Money Order

Cash