ServicePlus- Cinema Theatres C Form Licence

Permanent Licence for Cinema Theatres (C Form Licence)

Applicant Details

Status of the Applicant *

Applicant Name *

Gender *

Name of the Partnership Firm / Trust

Name of the Company

Mobile Number *

E-Mail *

Land Phone No. with STD Code

Aadhaar No *

Father / Husband / Guardian Name *

Mother's Name *

Whether Guardian to the Applicant? *

Yes

No

Guardian's Relation to the Applicant *

Guardian's Mobile Number *

Marital Status

Community *

Date of Birth *

Occupation *

Religion *

State *

District *

Taluk *

Revenue Village *

Door No. *

Street. *

PIN Code *

.

1. Is the licensee and the owner of the land and building same *

Yes

No

2. Is the site taken on lease under the jurisdiction of the HR&CE Department? *

Yes

No

Details of Owner of Land and Building

Name of the Owner of the Land *

Mobile Number.. *

E-Mail.. *

Land Phone No. with STD Code..

Aadhar No.. *

Father / Husband / Guardian Name.. *

Mother's Name.. *

Whether Guardian to the Applicant?. *

Yes

No

Guardian's Relation to the Applicant. *

Guardian's Mobile Number. *

Date of Birth.. *

Gender.. *

Marital Status.. *

Occupation.. *

State.. *

District.. *

Taluk.. *

Village.. *

Door No.. *

Street.. *

PIN Code.. *

Details of Proposed Premises

Name of the Proposed Cinema Theatre *

State. *

District. *

Taluk. *

Revenue Village. *

Select Local Body *

Municipal Corporation

Municipality

Town Panchayat

Village Panchayat

..

Enter the Survey No. and Sub Division No. Details. Please Click on + to add more than one Survey Numbers

Survey No. *

Sub Division No. *

Area (In Sq. Mt.) *

Land Category *

Survey No. *

Sub Division No. *

Area (In Sq. Mt.) *

Land Category *

Questionnaire to be filled by the Applicant

1 (a). Have you been regularly paying taxes and other dues payable by you to the State Government? *

Yes

No

1 (b). Are you in arrears in respect of any such tax or dues? *

Yes

No

1 (c). If Yes, is the matter under appeal or otherwise under consideration of the authorities

1 (d). If the answer is No for the Question 1(a) and if you are not a tax payer, please enter the details *

2 (a). Have you any previous experience in the cinema line? *

Yes

No

2 (b). If Yes, give full details. *

3 (a). Do you possess now or have you ever possessed before any place licensed under the Act? *

Yes

No

3 (b). If Yes, give full details of the places and periods. *

4 (a). Have you ever been convicted of an offence under clause (a) or clause(c) of section 14 of the Tamil Nadu Entertainment Tax Act, 1939 (Tamil Nadu Act X of 1939)? *

Yes

No

4 (b). If Yes, give full details. *

5 (a). Have you ever been allowed to compound any such offence under the Tamil Nadu Entertainments Tax Act? If Yes, give full details. *

Yes

No

5(b) Details of Punishment

Proceeding No.

Proceeding Date

Offence Committed

Nature of Punishment

Proceeding No.

Proceeding Date

Offence Committed

Nature of Punishment

6. Is the application for a permanent or semi-permanent or Travelling Cinema? *

7 (a). Is your cinema likely to serve the needs of any particular locality? *

Yes

No

7 (b). If Yes, how? *

7 (c). Name of the Locality *

8. What are the other places licensed for cinematograph exhibition in the locality say for around 8 Kilometers from the site *

9 (a) Is there any judicial dispute with the land *

Yes

No

9 (b) If Yes, Give Details *

10. Have you included all the Survey Numbers which are required for a direct access of the proposed site to the Public Road in all the requisite Directions *

Yes

No

11. Situation of the place or building *

12. Date of last inspection by the Chief Electrical Inspector *

13. Whether the place or building is to be used during the day or during the night or both *

14. Actual number of persons permitted in each part of the auditorium

Seating Class *

Seating Capacity *

Seating Class *

Seating Capacity *

15. Capacity of the AC Unit installed in the theatre. (In tonnes)

16. Rate of admission for each classes *

Seating Class *

Rate *

Seating Class *

Rate *

16 (a). Approximate time of commencement and ending of film shows

Shows

Begins at (HH)

Begins at (MM)

A.M or P.M

Ends at (HH)

Ends At (MM)

A.M. or P.M.

Shows

Begins at (HH)

Begins at (MM)

A.M or P.M

Ends at (HH)

Ends At (MM)

A.M. or P.M.

16 (b). Approximate time of the Advertisement Slots, Documentary/News Reel, Main Feature Film, Interval, Trailers and Total Duration (All timing should be in minutes)

Shows

Advertisement Slots

Documentary/New Reel

Main Feature Film

Interval

Trailers