F O R M - 'C' APPLICATION 1. Name of the applicant :................ (In block letter) 2. Father's /Husband's name :................. 3. Age : ............... 4. Present Address : ............... 5. Type of Trade : ............... 6. Name of firm and its location : ............... 7. Building size Kutch/Pucca/ Semi-Pucca : ............... 8. Year of Establishment : ............... 9. Whether the Building the belong to the applicant or not the owner of and address. : ............... I apply for the grant of License for my................ and the above statement are true to the best of my knowledge and behalf. Date.............. Sanitation Staff recommendation: - Signature of applicant.
