S.C.R.B (एस.सि. .

बि)

http://www.mhpolice.maharashtra.gov.in

GANESH FESTIVAL PERMISSION APPLICATION

सा णे ो स प ा ि

1. District ( ा): PARBHANI P.S. (पोलीस ठाणे): SELU

Date and Time of Application ( ा ण े ): 8/28/2022 10:03:00 PM Year ( ): 2022

Application No. ( .): 193920252022230550 Applicant's Photo

( ा ा ा फो ो)

2. (a) Name of Ganesh Mandal (मड ा े ा ): भ ण म मड

(b) Address of Ganesh Mandal (मड ा ा प ा): मु.पो. चि लठ ण बू.

(c) Year of Establishment of Ganesh Mandal ( णे मड ाप ा ): 2002

(d) Registration No. from Charity Commissioner ( म ा ता डिल णि मा ):

(e) Festival Period (From) ( णे ो स ाला ि ( ा पास )): 19/09/2023 To (ते): 28/09/2023

(f) President’s Name ( ा े ा ): मह

(g) President's Address ( ा ा प ा): चि लठ ण बू

(h) President's Mobile No. ( ा ा मोबा ल ब ): 7028564975

3. Applicant Information ( ा ा ि मा ति):

(a) Full Name (सपण ा ): यण मह

(b) Full Address (सपण प ा): मु. पो चि लठ ण बू

(c) Mobile No. (मोबा ल ब ): 7028564975 (d) Designation In Ganesh Mandal ( णे मड ातिल प ): य

(e) Email ID. ( -मेल डि):

4. Information of Office-Bearers and Members of the Mandal (मड ा े प ा ा ी स ा ि मा ति):

S. No. ( .स.) Full Name (सपण ा ) Mobile No. (मोबा ल .) Full Address (सपण प ा)

1 ज त ण 7038533808 चि लठ ण बू

2 घु थ दत 7387184341 चि लठ ण बू

3 मोल ध 8975404049 चि लठ ण बू

4 मह ध 8551808062 चि लठ ण बू

5 द त 7887948317 चि लठ ण बू

6 ठल बुध त 9689210582 चि लठ ण बू

7 ओ ध 7796858513 चि लठ ण बू

8 ह ुम बुध त 9075171043 चि लठ ण बू

9 ए थ ध 9356881249 चि लठ ण बू

5. Ganesh Murthy, Stage and Mandap Information ( णे मत , े मडपा ि मा ति):

(a) Width of Ganeshmurthy in foot ( णे मत ि ी):

(b) Height of Ganeshmurthy in foot ( णे मत ि ि):

1
 S.C.R.B (एस.सि. .बि)

http://www.mhpolice.maharashtra.gov.in

(c) Name of Sculptor (मत ा ा े ा ):

(d) Address of Sculptor (मत ा ा ा प ा):

(e) Mobile No. of Sculptor (मत ा ा ा मोबा ल ब ):

(f) Name of Mandap Owner (मडप माल ा े ा ):

(g) Address of Mandap Owner (मडप माल ा ा प ा):

(h) Mobile No. of Mandap Owner (मडप माल ा ा मोबा ल ब ):

(i) Detailed address of Mandap/Festival (मडप ा ा ा ठ ाण ा स त प ा): chikalthana bk

(j) Length of Mandap (मडपा ि लाबि): 12ft (k) Width of Mandap (मडपा ि ी): 20ft

(l) Height of Mandap (मडपा ि ि): 12ft

(m) Length of Stage ( े ि लाबि): 7ft (n) Width of Stage ( े ि ी): 5ft

(o) Height of Stage ( े ि ि): 3ft

6. Scenery Information ( े ा ा ि मा ति):

Subject of Scene ( े ा ा ा ): Ganesh utsav

7. Ganeshmurthy Sthapana Information ( णे मत ाप ेबाबत ि मा ति):

(a) Will there be Ganeshmurthy sthapana process done? ( णे मत ाप ेस म ण ाढणा ा ): No

(b) If Yes, Date of procession ( ो , स ास म ण ि ता ी ): 09/09/2022

(c) Strat time of procession ( म ण स ो ा ि े ): 06:00:00

(d) End time of procession ( म ण सप ा ि े ): 10:00:00

(e) Procession route ( म ण ा मा ):

(f) No. of vehicles involving in procession ( म ण तिल ा ा ि स ा):

(g) Types of vehicles involving in procession ( म ण तिल ा ा ा ा ):

(h) Registration numbers of vehicles involving in procession ( म ण तिल ा ा े मा ):

(i) Number of band squads joining procession ( म ण त सामिल ोणा ा बड प ा ि स ा):

(j) Number of lezim squads joining procession ( म ण त सामिल ोणा ा ले म प ा ि स ा):

(k) Number of drum teams joining procession ( म ण त सामिल ोणा ा ढोल प ा ि स ा):

(l) Approximate crowd joining for procession ( म ण त सा मल ोणा ा ा े सम ा ):

8. Ganeshmurthy Immersion Process ( णे मत स म ण ि मा ति):

(a) Will there be procession for Ganeshmurthy immersion? ( णे मत स म ण ाढणा ा ): No

(b) If Yes , Date of immersion procession ( ो , स ास म ण ि ता ी ):

(c) Start time of immersion ( म ण स ो ा ि े ): 00:00:00

(d) End Time of immersion ( म ण सप ा ि े ): 00:00:00

(e) Procession Route ( म ण ा मा ):

2
 S.C.R.B (एस.सि. .बि)

http://www.mhpolice.maharashtra.gov.in
(f) Immersion place ( स ा े ठ ाण):

(g) Will there be separate immersion procession? ( त स म ण ाढणा ा ):

(h) If not, will there be included in which immersion procession? ( स ास ोण ा स म ण त सामिल ोणा ):

(i) Number of band squad joining immersion procession ( म ण त सामिल ोणा ा बड प ा ि स ा):

(j) Number of lezim squads joining immersion procession ( म ण त सामिल ोणा ा ले म प ा ि स ा):

(k) Number of drum teams joining immersion procession ( म ण त सामिल ोणा ा ढोल प ा ि स ा):

(l) Subject of scene in immersion procession ( म ण तिल े ा ा ा ):

(m) Whether cases are registered against Ganesh Mandal's Office-Bearers? ( णे मड ा े प ा ा ी ा े े ा ल ेत ा ):

9. Ganeshmurthy Security ( णे मत स ा):

(a) Ganeshmurthy will be protested by mandal’s volunteers 24 hrs.? ( णे मत े स ण ो 24 तास मड ा ा से ामाफत

ात ेणा ा ): Yes

(b) Will CCTV camera installed at festival place? ( स ा ा ठ ाणि सिसि ी ी मे े ला ात ेणा ेत ा ):

(c) Will sound system be used during festival? ( स ा ा ाला ित ि ेप ा ा ाप ात ेणा े ा ):

(d) Is generator arrangement made during electricity problem/load sharing? ( त भा म / डित ा ास े ि ा

ात ली े ा ):

I Declare That All Information Listed in the Application is Correct and True, If it Find Wrong, I Will be Eligible for Legal Action
(मि ा ा े ो त तो , ाम े म े लेली सपण मा ति ी ब ोब े . ति ि ढ ास मि ा े ि ा ा स पा ा ी )