Application for License For Purchase Storage And Sale Of Cooking Gas

UBIN Details

UBIN Number *

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PAN Number *

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UBIN Information

Salutation *

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Full Name *

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Designation *

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Office Address *

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Mobile Number *

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E-Mail *

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Phone Number *

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Enterprise/ Business Name *

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General Information

Application Procession Location/ District where the application is being submitted *

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Applicant's Present Address: *

House No./Flat name/Locality *

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Village/ Town/ City

PO/PS *

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Country *

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State *

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District

Postal / Zip Code *

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Applicant's Permanent Address: *

Same as Present Address? *

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Yes

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House No./Flat name/Locality *

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Village/ Town/ City

PO/PS *

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Country *

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State *

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District

Postal / Zip Code *

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Family Relation:

Relation *

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Name of the Relative *

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Detailed Office Address:

House No./Flat name/Locality *

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Village/ Town/ City

PO/PS *

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Country *

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State *

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District

Postal / Zip Code *

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Specific Information

Profession *

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Place of business *

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List of Places with storage Godown *

Mention the names of the Places where the Godowns for storage are establised: *

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Particulars of fire service/Explosive License *

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Particulars of Trading License *

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Name of the oil company from which the applicant will get oil supply *

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Particulars of Agreement made with Oil company for supply of LPG *

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Particulars of fire service/Explosive License

Untitled

Particulars of Fire service *

Particulars of Explosive license *

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Payment Details

Validity Period *

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Security Fee *

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License Fee *

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Total Fee Payable *

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Declaration

I have carefully read the provisions of Arunachal Pradesh, Cooking Gas (Licensing and Control) and conditions of the license, and agree to abide by them. The information given above is best of my knowledge and belief is correct.

I Agree *