Department Name Executive Name Serial No: Zone: Ward No: Name of the Unit: Name of Applicant with Designation in the Unit: Father's/Husband's Name of Applicant: Partner/Proprietor/Director/Authorized signatory Trade/Industry with HP Any other remarks/Information License No: License Status: License Generation Date License Valid Up to Address of Premises: Telephone No: Email Id: Residential Address of Applicant: Telephone No Email Id: Product Name Product Code: Whether Applicant is Owner/Tenant/Legal Occupier Date of Establishment of the Unit: Area of the Establishment in Sq.Mtrs : Age of Building premises (in years) for which Trade License is applied for Whether the premises is protected under Delhi Special Protections Act-2011: Whether sufficient space for loading & unloading is available or not and also mention the width of road: Whether the premises is approved/regularized as per Building Bye-Laws: Whether the trade/articles of storage are Pollutant/obnoxious/hazardous or apparently prone to fire: Whether proof of legal occupancy of establishment attached Whether identity and residence proof attached Whether sketch map showing location of property attached: Whether proof of payment of parking and conversion charges, as applicable attached: Whether proof for date of commencement of Business/Affidavit in the matter attached: Whether Structural Safety Certificate attached(if applicable): Whether pollution NOC attached (if applicable): Whether Fire Safety Certificate attached, (if applicable): Whether name of the other partners/directors of the Firm/Parent Organization with percentage and address attached (if applicable): License DD No. License Receipt No License DD Date Total Amount (License) Bank Name (License) Bank Branch (License) Registration Fees Previous Year Amount (License) License Amount Advance Amount (License) Processing DD No Processing Receipt No Processing DD Date Processing Amount Bank Name (Processing) Bank Branch (Processing)