Application For New/Renewal Cinema License

Theater Owner Details

Owner Name *

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Gender *

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Male

Female

Transgender

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Father/Husband/Guardian Name *

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Birth Date *

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Mobile Number *

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E-Mail *

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Theater Owner Permanent Address

Address Line 1 *

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Address Line 2

Address Line 3

Country *

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State *

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District

Postal / Zip Code *

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First Manager's Information

Name *

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Father's Name *

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Mobile Number

Address Line 1 *

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Address Line 2 *

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Address Line 3

Country *

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State *

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District

Postal / Zip Code *

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Second Manager's Details

Name *

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Father's Name *

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Mobile Number

Address Line 1 *

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Address Line 2 *

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Address Line 3

Country *

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State *

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District

Postal / Zip Code *

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Cinema Hall Details

Address of Proposed Cinema Hall *

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Any other information

District - *

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Tehsil *

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No. of Seats in Cinema Hall *

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Rate of License Fee for 2 Years

Any other Cinema Hall near by?(If yes, provide below Details) *

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Yes

No

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Permanent Cinema

Semi-Permanent Cinema

Tour Cinema

Location Details

Distance of Cinema Hall (in Meters) from below places-

Nearest School *

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Nearest Temple or other religious place *

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Nearest Hospital *

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Any other Points

Space Availability

Enough Car Parking Space is available? *

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Yes

No

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Enough space is available for maintaining Queue *

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Yes

No

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