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हिंदी
F.Y - 2025-2026
Financial Year
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Date Of Application
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2025-2026
Type of License Requested
RETAIL ON
Applicant Details
Name of Applicant
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Permanent Address
State
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Andaman Nicobar
Andhra Pradesh
Arunachal Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhatisgarh
Dadra And Nagar Haveli And Daman And Diu
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Diu
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Goa.
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N.Delhi
Nagaland
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Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bangal
District
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Capacity of Applicant
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OWNER
PARTNER
DIRECTOR
Institution
Company
Registration Details
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If Relaxtion given by state Goverment for Registration (Application form duly signed presented by Elected secretary/president, who is qualified to apply)
Application by Company/Firm/Institution (Application form duly signed presented by Elected secretary/president, who is qualified to apply)
If Registered under any other law (Application form duly signed presented by Elected secretary/president, who is qualified to apply)
In case of society Registered under cooprative law (Application form duly signed presented by Elected secretary/president, who is qualified to apply)
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Partner Details
Name Of Partner
Father Name
Partner Address
Registration Number
Registration Date
PAN Number of Partner
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Name Of Partner
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Registration No.
Partner PAN No
Father Name
Address
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Permanent Account No. of Property
TIN No.
GST No.
BR Number
Name of Unit
Address
State
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Rajasthan
District
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Property in Area
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URBAN
RURAL
Location of Property
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WITHIN MUNCIPAL
OUTSIDE MUNCIPAL
Population of Area
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<=20000
>=20000
Municipal / Tehsil Name
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Category
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Luxury Hotel/ Trains
Heritage Hotel
Other Hotel
Bar
Restaurant
Airport Bar
shop
SHOP
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MOLASSES
Hologram
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Sub Category
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Room Capacity
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26-10000 ROOMS
Ownership of the Property
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SINGLE
PARTNERSHIP
COMPANY
Located Near NH/SH
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No
Distance in meter from NH/SH
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>=220
>=500
Total Area Of Land of Property (in Sq.Ft)
Constructed Area on the Land (in Sq.Ft)
Are There Lettable rooms
Yes
No
Annual Turnover
Other special facilities available in club
Registration Certificate of club
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No
Name of Trade License Issuing Authority
Constitution of club
Purpose of club
Is club operating on basis of no profit/loss
Yes
No
Name of issuing officer with designation
Issuing officer/name of local body
License Number/Registration Number
License Date
Parking facility
Yes
No
Swimming Pool
Yes
No
Gymnasium
Yes
No
Badminton/squash court
Yes
No
Billards/pool table
Yes
No
Cards Rooms
Yes
No
Lawn tennis court
Yes
No
Double Rooms(Non-AC)
Single Rooms(Non-AC)
Double Rooms(AC)
Single Rooms(AC)
Total Rooms
Particulars of Bar
Area(in Sq. Ft.)
Seating Capacity(No. of Persons)
Situated Floor
Fully air conditioned
Yes
No
Separate Toilet Facility for Men and Women
Yes
No
Store
Yes
No
Bar Counter
Yes
No
Location of Bar Counter(if YES)
>Particulars of Extra Restuarant
Seating Capacity(No. of Persons)
Situated Floor
Fully Air Conditioned
No
Yes
Area of Extra Restaurant(in Sq. Ft)
Total Turnover(in Rs)
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Seating Capacity(No. of Persons)
Situated Floor
Fully air conditioned
Fully air conditioned
Area of Extra Restaurant(in Sq. Ft)
Total Turnover(in Rs)
Action
Details of proposed bar
Total area of proposed bar (in Sq. Ft)
Total seating capacity
AC/Non AC
Yes
No
Store Room
Yes
No
Counter Facility
Yes
No
Separate facility area for men and women
Yes
No
Number of member of club
Particulars of Extra Restaurant in Club
Area (in Sq. Ft.)
Seating Capacity(No. of Persons)
AC / Non AC
Yes
No
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प्रस्तावित ईकाई का के अग्निशन अन्नापत्ति प्रमाण पत्र वैध है
YES
NO
स्थानीय निकाय / प्राधिकरण / प्राधिकारी द्वारा होटल / क्लब / रेस्टोरेंट / के लिये जारी अनुज्ञा पत्र वैध है
YES
NO
यदि स्थानीय निकाय / प्राधिकरण / प्राधिकारी / की परिधि सीमा से बहार हो तों सक्षम अधकारी द्वारा भू –उपयोग परिवर्तन की स्वीकृति संलग्न है
YES
NO
ईकाई के लिये जारी नवीनीकृत खाद्य अनुज्ञा पत्र वैध है
YES
NO
ईकाई परिसर के सम्बन्ध में भू – सवामित्व एवं आवदेक के पक्ष में दर्शाये जाने वाले दस्तावेज वैध है
YES
NO
प्रस्ताव में संलग्न अन्य दस्तावेज सही है
YES
NO
राज्य सरकार द्वारा जारी अधिसूचना दिनांक 1.04.2022 अनुसार प्रस्तावित होटल / क्लब / रेस्टोरेंट की देय अनुज्ञा फीस जमा कराई गई है
YES
NO
माननीय सर्वोच्च न्यायालय के पारित आदेश की पालना में प्रतिबंधित दूरी की पालना हो रही है
YES
NO
मुख्यालय से जारी चैक लिस्ट एवं समय समय पर जारी निर्देशों की पालना में आवेदन द्वारा प्रस्ताव में संग्लन दस्तावेजो की पूर्ण जाँच करने के उपरान्त प्रस्तावित ईकाई को होटल / क्लब / रेस्टोरेंट बार अनुज्ञापत्र दिये जाने की अनुशंषा
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