Form - E
Form - E
1. 2. 3.
Name and address of the applicant... Names and addresses in full of the Partners, if any. Name of the Hotel/Restaurant/Club/ Canteen and its address in full i.e. its Exact location.
2[4. Whether the hotel, restaurant or canteen is within a distance of seventy five meters form any educational or religious institution or from any bus stand, stat in or depot of the Mahaarashatra State Road Transport Corporation.] 1. Whether the applicant holds at present or held at any time in the past any licence for the sale or foreign liquor including mild liquor, ad if so, the period during which it was held. 2. Average number of residents/boarders/members or visitors, as the case may be, during the last one year immediately before the date of the application. 3[7. (a) The details of amenities provided at the hotel /restaurant/canteen club ad in the case of a club the objects and activities thereof,] (b) 4 * 5[ Carpet area of hotel/ restaurant/ canteen Where consumption of mild liquor will be allowed and how many persons are/can be provided with sitting accommodation at a time, (d) (e) (f) What is the carpet area of the hotel/restaurant/canteen excluding kitchen, cloak room, etc... which is not used for customers? Whether the establishment has a separate kitchen and attached cloak room, providing wash- basin and urinal facilities; Whether the establishment has provision for serving snacks, eatable etc.;
(g)
Whether the establishment has separate store room adjacent to the proposed licensed premises for storage of mild liquor.]
8. The grade, if any, in which the hotel/restaurant/club /canteen is classified and the authority for such classification, if any. 8A. 8. 9. 10. 1* * * * *
Proof of solvency of the applicant. Whether any Excise/Police/Municipal Licence held by the applicant was suspended or cancelled at any time in the past, and if so, the period of such suspension or cancellation and the reasons therefore. Whether the applicant is in Excise arrears or I arrears of any other Government dues, such as Sales Tax, Income Tax. etc.
I hereby declare that the particulars given above are correct. I hereby undertake to abide by the conditions of the licence and the provisions of the Bombay prohibition Act, 1949, and the rules, regulations and orders made thereunder form time to time.
Date:
To The Collector of ]