APPLICATION
FORM FOR ISSUE OF TRADE LICENCE
1. Name of
applicant
...
2. Fathers/Husbands
name
3. Permanent
address Circle
.
PO/PS
...
4. Present
address
...
...
5. Land
allotment order (photo
-copy be attached).
...
6.
Location of the plot proposed
for business.
...
Sector
7. Type of
building OBT/MIBT/SPT/Log
Type/RCC
8. Total
plinth area of building
Sq. Mtrs.
8.
Total covered
area by fencing/
Compound wall.
...
9.
Whether space
for parking and
Storage provide. Yes/No.
11. Details of
Shop/Rooms. Indicate
on Annexure I
12
. Whether land revenue paid
upto date photocopy of Try.
Challan be attached. Yes/No.
13.
Financial
Soundness certificate
and Income certificate. :-
14.
APST
certificate and No criminal
Certificate. :-
15.
In case of
rented premises submit
the following details.
i)
Lease agreement
in original be
Attached.
ii)
Name of owner
of building (with
documents of land allotment and
electricity bill. :
iii)
Permanent address of owner
.. ...
Village
..
Circle
.PO/PS
..Dist
.
.
16. In case of
partnership business furnish :-
the
following details.
17. Deed of
partnership
i)
List of share
holders as provided
In the guidelines (indicate on
Annexure-II) :-
18.
In case of Pvt. Ltd. Company business
furnish the following details. :-
i) Registration certificate. :-
ii)
Memorandum and
articles of
Association. :-
iii)
List of share
holders as provided
in the guidelines.
a)
Indicate on
Annexure-II (include
all partnership in case partnership
and share holders).
b)
In case of companies. :-
19.
Have you ever been convicted by any court
Of law
for committing unlawful activities ?
i) If yes, give
details. :-
UNDERTAKING VERIFICATION
I/we
do hereby solemnly affirm that
the information above is true and correct to the best of my our knowledge and
belief.
I/we do hereby undertake to abide by
the terms and conditions of trading licence if issue
to us also undertake the same in case expiry of lease without further extension
of the lease.
Signature in full of the applicant
PART-II (TO BE
FILLED BY RECOMMENDING AUTHORITY).
Trade Licence in respect of Shri./Smti.
.
S/o , D/o, W/o Shri
,
Village
.
.
Circle
, may be granted . I have verified the land
/building /financial soundness and found correct as stated.
Signature of Recommending Authority, SDO/EAC/C.O.
I / Shri./Smti./
Miss.
S/o, W/o, D/o, Shri./Smti
..age about
.
Village
. Circle
. District
.
Do hereby solemnly declare and affirm as under :-
1. That I intent to
run business myself
Of
East Siang District on obtaining a trading licence from Deputy
Commissioner, East Siang District, Pasighat.
2.
That I intent to run
business myself and I shall no
make
any agreement with a Non-Arunachalee for running
business on commission basis without prior written order of the Deputy
Commissioner.
3.
That I shall be bound
to comply with all the terms and
conditions
laid down into the trading licence and in case of any
violation of any terms and conditions of the trading licence
same shall be liable for cancellation.
4.
That I am not Govt.
servant and none of my family
members
are in Govt. service.
5.
The content of all
the for going paras are true to best
of my
knowledge and belief and I put my Signature / Thumb impression on the same on
this
. day of
Signed and solemnly declare on /oath
before me in my Court by Shri./Smti.
on this
.. day of
.
The deponent is identified by Shri./Smti.
..
who is known to me.
Judicial
Magistrate I st Class
East
Siang District,Pasighat.