Application Form for the License to Run a Gymnasium 1. Name of the Gym : 2. Name of the applicant and Residential Address : 3. Address of the Place in which the Gym is Situated : 4. Area of the Building and Area of the Gym in Sq. Meters : 5. Material of the roofs, sidewalls, galleries and Staircase Are made: 6. Duration of working Hours required running a Gym: 7. Jurisdictional Police Station: 8. Whether the applicant is the owner of the building or Tenant: 9. If he is a tenant, consent letter of the owner, rent receipt And receipt for the Corporation tax paid to be enclosed : 10. Average Number of Users/Customers of the Gym in a day: 11. Whether the trainer is available for giving the training to the User : 12. Description of the Instruments available at the Gym : 13. Whether space for parking for Vehicles Available: 14. Whether the Gym is situated in the Commercial Zone, Residential Zone or mixed Zone: 15. Whether involved in any Criminal Case in the Past or any case pending at present : Place: Signature of the Candidate Date: