APPLICATION FORM FOR CINEMA LICENSE UNDER RULE 5 OF THE MEGHALAYA

CINEMA (EXHIBITION OF FILMS ON VIDEO EQUIPMENT) RULES, 1985

Purpose of application (tick any one):

Purpose of application (tick any one): *

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Permanent cinemas

Temporary indoor cinemas

Temporary open air cinemas

Touring cinemas

Permanent Mini Cinema

Permanent Multiplex

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Applicant Details

1.Applicant’s Name: *

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2. Gender: *

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Male

Female

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3. Father’s Name: *

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4. Age of the Applicant: *

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5.Permanent Address of Applicant: *

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6.Temporary Address:

7.Contact Number of Applicant *

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8.Email ID *

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Exhibition Details

8.Name of theatre/place of exhibition: *

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9. Location and description ofplace proposed for exhibition (Address): *

District *

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Village/Town *

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Locality *

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Pincode *

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10.Name of owner of equipment for exhibition: *

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11.Name of owner of place of exhibition *

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14.Does the ownership of or the right in either the place or the apparatus intended to be used vest with the applicant? *

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Yes

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13.Proposed maximum number of viewers per show: *

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Declaration

I hereby declare that the above statement is true to the best of my knowledge and belief. I also enclose the documents required by rule 5(ii) of the Meghalaya Cinemas (Exhibition of films on Video equipment) Rules, 1985.

I Agree *