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Form No.

Price Rs. 20/- only

Application for Renewal of Certificate of Enlistment for


Trade, Callings & Professions

To
THE LICENSE OFFICER,
HOWRAH MUNICIPAL CORPORATION Ward No.
4, M.G. ROAD, HOWRAH-711101

Dear Sir,
I/We beg to apply for renewal of Certificate of Enlistment for Trade, Callings & Professions for the
financial year in respect of my / our business
I/We give below the particulars of business

1. Name of style of Business


2. Name of Proprietor
3. Name of Partners
(In case of partnership firm)
4. Name of Managing Director / Directors / Trustee :
(In case of limited /Pvt. Ltd. company / LLP/Trustee etc.)
5. Address

6. Phone I Mobile Nos :


7. Place of business : (With Pincode)

P.S.
8. Particulars of Trade, Callings & Professions (in detail)

9. Rent Payable per month in respect of business : Rs.


1(1. Amount of paid-up-Capital : Rs
(In case of limited Pvt. Ltd/ company / LLP etc.)
11. Date of commencement of business :
I/We hereby agree to abide by the terms & conditions that will be introduced.
I/We beg to enclose the self attested photocopies of the following documents : (Tick the documents enclosed)

❑ Stamp Size Photograph (in original) of ❑ Deed of Trust (In case of Trustee)
(Proprietor / Partners I Trustee / Directors etc.) • MOA (In case of limited /Pvt. Ltd. company / LLP)
❑ Pan Card • AOA (In case of limited /Pvt. Ltd. company / LLP)
❑ EPIC (Voter card) ▪ Rent Bill / Rent Agreement / Lease Agreement
❑ Adhar Card ❑ Affidavit / Undertaking
❑ Property Tax Bill / Ownership Deed ❑ NOC I Permissionfrom WBFS / WBPCB /
❑ Partnership Deed (In case of partnership business) F.S.S.A.I (if applicable)
❑ Proof of Conservancy charges (if applicable)
Yours faithfully

Date : Signature of Applicant with official seal

N. B.: Original documents must be produced for verification at the time of inspection

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