SPECIMEN FORMAT FOR GRANT OF MONEY LENDING LICENCE Application for the registration of a Money Lending (Section 4 of Punjab Registration of Money lender Act 1938). IN THE OFFICE OF THE COLLECTOR OF UT CHANDIGARH AT CHANDIGARH a) Name of the Applicant: ________________________________________________________ b) Fathers Name: ________________________________________________________ c) Correspondence Address: ________________________________________________________ d) In case if the applicant is a firm, name of all partners along with their address is required to be given: _______________________________________________________________________________ _______________________________________________________________________________ e) In case where the applicant is a firm, where it is Hindu joint family firm or otherwise constituted and whether it has been registered under the Indian partnership act 1932: ________________________ f) Name and style under which the applicant carries in his Money lending business: _______________________________________________________________________________ g) Name of the District with in which the applicant has his business on the date of the application: _________________________________________________________ h) Name of the district of which the applicants wishes in future to extend his business: ____________________________________ i) Location of the applicants principal place of business with full particulars thereof and the name of parentage, caste and address of the person in charge: _____________________________________________________ j) Have the applicants any office at any other station? If so give complete particulars with the name, parentage, cases and address of the persons in charge of each office: ___________________________________________________________ k) What is the extended of the total business of the applicants on the date of application?: ____________________________________________ l) For how long has the applicant carried on the business of many lending ?: ___________________________________________________ m) Whether any application for registration has previously been made by the applicant or where the applicant in a firm, by anyone or more of its members single or jointly interne or with any other person. Under any name if so when there and with what results?: _______________________________ n) In case the applicant had previously been registered and licence. Give full particulars of license: ____________________________________________________________________ o) State whether any licence granted previously to the applicant or (whether the applicant is firm to anyone or more of its member single or jointly interested or with any other person.) has been cancelled if so, full particulars s should be given. Including the name of the Officer and terms of the order cancelled the license: ________________________________ p) Whether money lending is the sole business of the applicant or whether its engaged in any other business, profession or calling: ________________________________________________ Verification : Certified that all the facts stated in the application are true and correct to my knowledge. Signature of person Signatures of applicant making the verification. with date
