APPLICATION FORM FOR GRANT OF LICENSE IN FORM JKEL-4 i.e BAR WITH RESTAURANT 1 Name of the applicant --------------------------------------------------------------------------- 2 Father's/ husband name --------------------------------------------------------------------------- 3 Full residential address --------------------------------------------------------------------------- 4 Date of birth --------------------------------------------------------------------------- 5 Proposed location --------------------------------------------------------------------------- 6 Name of restaurant ------------------Tehsil------------Distt.------------------------------- 7 Whether the restaurant is functional -------------------------------------------------------------------------- 8 Whether the restaurant is on lease or on rental basis or owned by the applicant --------------------------------------------------------------------------- 9 Number of customers that can be accommodated in the restaurant at one time --------------------------------------------------------------------------- 10 Whether the restaurant has a separate Kitchen --------------------------------------------------------------------------- 11 Whether the restaurant has a hygienic toilet --------------------------------------------------------------------------- 12 Whether the restaurant if in Jammu city is fully air- conditioned --------------------------------------------------------------------------- 13 Whether the restaurant in the places of cold climate like Srinagar has reasonable heating arrangements ----------- ---------------------------------------------------------------- 14 Qualification of the applicant ---------------------------------------------------------------------------- 15 Whether the applicant is fit to conduct the Business of liquor ---------------------------------------------------------------------------- 16 Number of liquor licenses if any possessed By the applicant and the kind of license ---------------------------------------------------------------------------- 17 Whether the applicant is a permanent Resident of J&K State ---------------------------------------------------------------------------- 18 Whether the applicant has ever been convicted under the J&K Excise Act or any other criminal Law of the country ---------------------------------------------------------------------------- 19 Whether the applicant is a defaulter of arrears of Sales Tax/ Excise ----------------------------------------------------------------------------- 20 Amount of processing fee of application --Rs.1,000 ----------------------------------------------------------------- 21 T.R. No. and Date ----------------------------------------------------------------------------- 22 Name of the treasury ---------------------------------------------------------------------------- I hereby declare that the above said statements are true to the best of my knowledge and belief and nothing has been concealed there in. I undertake that in the event of any of the above information being found to be false my application is liable to be rejected summarily. Signature of the applicant
