Meeseva Pawn Broker Licence Application
Form of Application for Pawn Broker’s License
1)Application for
2)Name of the Applicant
3)Father Name
4)Gender
5)Religion
6)Nationality
7)Caste Category
8)Residential Address
Door Number :
Location :
9)Shop Address
Door Number :
Location :
Pin code :
10)Proof of Address :
11)If applicant is native of an Indian state
a)Full address in such Indian state
b)A list of properties owned in such state
12)Address of shop or place of business in
Respect of which the license is applied for anySubsequent change should be notified before One month prior to change of premises
13)If the applicant has more than one shop or Place of business, the address of each shop or Place of business
14)Has the applicant applied for a separateLicense in respect of each shop or place of Business mentioned against item No 7, if so with what result?
15)If the present application Made for grant of new license
16)The financial year for which the license is applied for
17)Fee paid particulars
Challan No :
Challan Amount :
I solemnly and sincerely affirm and declare that the particularknowledge and belief, if it were found false on a later to law and rules framed in this act.
1)Application for
2)Name of the Applicant
3)Father Name
4)Gender
5)Religion
6)Nationality
7)Caste Category
8)Residential Address
Door Number :
Location :
9)Shop Address
Door Number :
Location :
Pin code :
10)Proof of Address :
11)If applicant is native of an Indian state
a)Full address in such Indian state
b)A list of properties owned in such state
12)Address of shop or place of business in
Respect of which the license is applied for anySubsequent change should be notified before One month prior to change of premises
13)If the applicant has more than one shop or Place of business, the address of each shop or Place of business
14)Has the applicant applied for a separateLicense in respect of each shop or place of Business mentioned against item No 7, if so with what result?
15)If the present application Made for grant of new license
16)The financial year for which the license is applied for
17)Fee paid particulars
Challan No :
Challan Amount :
I solemnly and sincerely affirm and declare that the particularknowledge and belief, if it were found false on a later to law and rules framed in this act.