Application form for Allotment of Shop Rooms/Public Space/Housing Unit for Business Purposes

Select Office *

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Salutation *

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First Name *

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Middle Name

Last Name *

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Gender *

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Applicant's Email *

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Applicant's Mobile Number *

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Address Line 1 *

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Address Line 2

Address Line 3

Country

State

District

Postal / Zip Code

Relationship with Guardian *

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Guardian'S First Name *

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Guardian's Middle Name

Guardian's Last Name *

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Applicant's Photograph

Applicant's Signature

Applying for *

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Nature of Business *

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Situated At:

To be certified by the applicant (s):

I/We solemnly affirm that details entered in this application are true to the best of my knowledge and promise to abide by the rules.
If the information details provided are found to be false, the service can be terminated at any time.
We accept that the service duration and location alloted are subject to availability and can be modified by the issuing authority.

I Agree *