Service Description
Application Form
Apply For Service
GOVERNMENT OF MEGHALAYA
EXCISE REVENUE TAXATION AND STAMPS DEPARTMENT
APPLICATION FOR GRANT OF EXCISE LICENSE FOR WHOLESALE, RETAIL, BOTTLING, DISTILLERY PLANT
Application Type And Location Of the Premise
Select Application For
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Excise License for wholesale
Excise License for retail
Excise License for Bottling
Excise License for Distillery Plant
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District
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EASTERN WEST KHASI HILLS
EAST GARO HILLS
EAST JAINTIA HILLS
EAST KHASI HILLS
NORTH GARO HILLS
RI BHOI
SOUTH GARO HILLS
SOUTH WEST GARO HILLS
SOUTH WEST KHASI HILLS
WEST GARO HILLS
WEST JAINTIA HILLS
WEST KHASI HILLS
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Location Address for which license is applied
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Name of the Vendor/Company
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Name of the Locality Where Vendor/Shop Located
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Applicant Details (Section-I)
Name of Applicant (Full Name)
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Applicant Address
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District (Applicant Address)
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EASTERN WEST KHASI HILLS
EAST GARO HILLS
EAST JAINTIA HILLS
EAST KHASI HILLS
NORTH GARO HILLS
RI BHOI
SOUTH GARO HILLS
SOUTH WEST GARO HILLS
SOUTH WEST KHASI HILLS
WEST GARO HILLS
WEST JAINTIA HILLS
WEST KHASI HILLS
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E-Mail
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Mobile Number
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Age
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Marital Status
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Married
Unmarried
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Gender
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Male
Female
Other
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Caste (SC/ST/OTH)
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SC
ST
OTH
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NOC From (Select according to the area within)
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Municipal Board
From Market/ Bazzar Committee
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Father's/ Husband's Name
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Religion
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Highest Educational Qualification ( Provide Details )
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Present Occupation
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Applicant Details (Section-II)
1. Are you citizen of India as defined in Article 5 to 8 of the Constitution of India?
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Yes
No
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2. Has the applicant/ you have has held individual/jointly held one/multiple shop/s or any other excise license? (Provide Details if yes)
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Yes
No
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3. Whether applicant’s direct family member/dependents have held individual/jointly held one/multiple shop/s or any other excise license? (Provide Details if yes)
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Yes
No
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4. Are you/applicant an Income Tax Payer?
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Yes
No
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5. Do you/Applicant pay Sales Tax?
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Yes
No
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6. Do you/Applicant pay Professional Tax?
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Yes
No
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7. Are you/applicant in any way related to a Government official working in Excise Department?
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Yes
No
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Provide Details Here (if working) :
8. Have you/applicant been punished or penalized or convicted for violation of any Excise laws/rules/orders?
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Yes
No
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Provide Details Here (if punished or penalized or convicted for violation of any Excise laws/rules/orders) :
9. Have You/applicant has ever been convicted by Court of Law for a non bailable offence?
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Yes
No
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Provide Details Here (if convicted by Court of Law for a non bailable offence) :
Declaration
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I do hereby declare that all the particulars furnished in this application are correct to the best of my knowledge. I shall be held responsible for any incorrect information.
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