TAMIL NADU EXHIBITION OF FILMS ON T.V. SCREEN THROUGH VIDEO CASSETTE RECORDER (REGULATION) RULES, 1984 FORM 'H' APPLICATION FOR LICENCE FOR KEEPING A VIDEO LIBRARY (See Rule 21.1) 1 Full name of the Applicant :: 2 Address of the Applicant (Residential) :: 3 Give details of your status :: 4 a) Have you been regularly paying taxes and other dues, payable by you to the State Government b) Are you in arrears in respect of any such tax or dues c) If so, is the matter under appeal or otherwise under consideration of the authorities 5 Have you any previous experience in the line of keep a video library, if so, give full details Do you posses now or have you ever possessed before any place licenced under the Tamil Nadu Exhibition of :: Filims on Television Screen Through Video Cassette Recorders (Regulation) Ordinance 1984, If so, give full details of the places and the periods 7 Details of the building for which you require the licence (Survey Number or Numbers, Village, Taluk, District) :: Door No, Street etc., also to be stated 8 Have you included all the Survey Number which are required for a direct access to the Public Road (Survey :: Number to be mentioned) 9 Do you own the building. If so attach documents :: relating to ownership alongwith true copies 10 Have you taken the building on lease. If so, attach the lease deed with a true and also copies of the records to :: prove the ownership of the lessor 11 Is your video library likely to serve the needs of a ::particular locality. If so, how? 12 What are the other places licenced for keeping video ::library in the locality say around 8 KMs from the site 13 What is the approximate population of the locality, say ::for around 8 KMs from the site 14 Considering the number of places already licenced in :: the locality, is there any need for another video library 15 Area of the place in square metres (of the proposed video library) materials of which the roof, side walls, :: gallery stair case are made) 16 Whether the place or building is to be used during the day/night/day and night (working hours) 17 Age and date of birth of the applicant Certified that all the above particulars are true to the best of my knowledge and belief. Place Date Signature of the Applicant Enclosures: 1 Application 3 copies to be submitted 2 One rupee court fee stamp to be affixed on the application 3 NOC from the house owner 4 Latest Corporation Tax Receipt issued by the Corporation authorities for the proposed video library 5 Rental agreement with the house owner for 11 months 6 Latest Rent Receipt issued by the house owner