| 1. | Name of the applicant in full (in block letters) |
: |
| 2. | Address of the applicant | : |
| 3. | Nature of
advertisement sketch and/or photograph |
: |
| Non-illuminated skysign, | ||
| Sky-sign, hoardings board, | ||
| Posters, Wall paintings, | ||
| Illuminated Show Case, | ||
| Motor Cars, Motor car illuminated, | ||
| Hand carts, bullock carts, | ||
| Sandwich Board illuminated. | ||
| 4. | Exact location of the site where the advertisement is to be exhibited with sketch plan. : |
|
| 5. | Dimensions of the advertisement Length______________________breath __________________ | |
| (in metric units) Area __________________________________. | ||
| 6. | The subject matter of the advertisement : | |
| 7. | Please state the ownership of the premises, i.e. whether private
municipal, government, railway and produce"No Objection Certificate" from the landlord concerned. : |
|
| 8. | The date, from which the advertisement is to be exhibited and the period for which the permission is applied for : |
|
| Date :_____________________20 | ||
| Signature of the applicant | |
|
To be scored of which is not required, |
|
| Serial No.__________________ | |
| Received application on ____________________________________________________________________ | |
| Please call on_____________________________________for further information. | |
| CHIEF OFFICER | |