|
1. |
Name of applicant |
_____________________________ |
|
2. |
Father's Name |
_____________________________ |
|
3. |
Present Address |
_____________________________ |
|
4. |
Purpose for which
license/sanction/permission is
required |
_____________________________ |
|
5. |
Period for which the
license/sanction/permission is
required. |
_____________________________ |
|
6. |
Amount of fee to be paid for the
grant of license. |
_____________________________ |
|
7. |
Documents attached with the
application. |
_____________________________ |
|
8. |
Any other information which the
applicant desire to give in support
of this application. |
_____________________________ |
The conditions on which the
license /sanction/ permission will be given
to me/us have been read by me/us or read
over to me/us and I/We
_______________________to abide by them .