BHUBANESWAR MUNICIPAL CORPORATION APPLICATION FOR LICENCE Under Section - 290 Renewal of Licence of the Orissa Municipal Act,1950 1 Name of the applicant Father's Name and Address 2. Nature of Business for which Licence is sought for. 3. Value or quantity of business 4. Place of business, Date of commencement of Business. 5. Period for which liceene is required 6 Remarks Date Signature of Applicant DECLARATION ' do hereby deciare that the information furnished by me in the form are true to the best of my knowledge and belief and there is no danger to the lives and properties of the people residing near by my business place. lundertake to take all necessary preculionary measures to maintain safely of highest order. If any accident takes place the Bhubaneswar Municipal Corporation will not be responsible for it Signature of Applicant (FOR USE IN THE MUNICIPAL CORPORATAION OFFICE) Enquiry Report Order