Egov Center

To,

The Commisioner of Police,
Desk-X (Hotel Branch)

Subject: Application for the grant of Place of Public Entertainment licence for conducting activity of Eatery/Permit Room/ Beer Bar at

Sir,
I, the undersigned Shri/Smt/Kum
Owner of Hotem M/s would like to apply for grant of Place of Public Entertainment Licence of Class-A at the above address. The place belongs to me/ taken on rent or lease. Details are as follows.

Name of the Police Station:

Full Name:

Occupation:

Parantage:

Age (Date of Birth & Place of Birth):

Nationality:

Residential Address with telephone/Mobile number/ E-Mail :

Native Place Address with name of Police Station:

Full Name of the Establishment & Address (With Landkmark):

Whether any other name is used for the establishment:

Whether applied in the past for similar licence. If so, give details :

Exact Nature of Entertainment Activity:

Signature or thumb impression of applicant

Form Application for license to run a hotel

Please enter the information in the form below