Sinage Licence for Advertisement

DETAILS OF THE TRADE/OWNER

Unique Business Identification Number (UBIN) *

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Name of Applicant *

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Mobile Number *

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E-Mail ID

Father’/ Husband's Name *

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ULB, where you want to apply *

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Permanent Address

Area/Village *

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Mouza *

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Post Office

Country *

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State *

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District

Pincode *

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Police Station *

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Ward No. *

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OTHER DETAILS

Age of Applicant

Name of Business Establishment *

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Name of Business *

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Type of Business *

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If other, please specify

Ownership of Building/Space where the business is to be established

Own

Rental

ULB's

Government

Owner of the Building/Space where the business is to be established:

Name of Owner *

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Father's/Husband's Name

Date of Commencement of Business *

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Any other Business in the name of Applicant located in the MB area

Ward No. *

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Name of the Road *

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Near House/Room/Campus No. *

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Fees

Application Fees *

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Declaration

All the above information are based on truth and best of my knowledge.

I Agree *