FORM -I (SEE RULE 10) Application for license under rule 10 of the Andaman and Nicobar Islands Cinemas(Exhibition of film by Video Cassette Recorder) Licensing Rules, 1986. 1. Name of Applicant 2. Father's Name 3. Age 4. Address 5. Name of place and description where exhibition of film for public shall be made by the VCR. 6. Whether certificate regarding public safety, convenience and health have been obtained from the concerned authorities. 7. Time schedule for Exhibition of film 8. Seating arrangement in the building 9. Other details regarding building 10. Challans/Treasury Vouchers No. Date indicating deposit of Licence/renewal fees. Date: Signature of the Applicant.