FORM ‘A’ 

(See Bye-Laws-3)

Application for grant of licence under the Bye- Laws for Lodging House.

To

The Chairman,

          Municipal Council

          Port Blair

Sir,

I/We………………………. hereby apply for grant of a licence under the Port Blair Municipal Council Bye-Laws for Lodging House to run a Lodging House in premises, the details of which are given below and request you to kindly grant me the same. The provisions of the said Bye-Laws have been gone through/read over and explained to me and I have noted the requirement contained therein.

Location & Specification of Lodging House.

(a)               Location ………………………………………………..

(b)              No. of room with No. of beds………………………..

(c)               Size of rooms……………………………………………

(d)              Details of Sanitary arrangement provided……………………………………………………

(e)               Station…………………………………………………….

Date:                                                           Signature of the Applicant(s)