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GOVT.VARIOUS APPLICATION & REGISTRATION


Form - Application for Registration of Shops & Establishments under Govt. of West Bengal

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Total Expenses : Rs 1180/-

Sponsor Present ? * Yes No




[ After Click On Primary Submit Check your Email ID for Final Submission ]

APPLICANT DETAILS

Name *
Date of Birth *
(dd/mm/yyyy)
Gender *
Mobile No *
E-Mail Id
Aadhaar Number *
Designation *

SHOP OR ESTABLISHMENT DETAILS

Name of the Shop or Establishment *
Nature of Ownership *
Exact Location of Office, Store-room, go down, warehouse or work place ,if any attached to shop but situated in premise different from house of establishment *
Shop Full Address with Pin No *
(Please mention : At/Vill,ward,Landmark,PO,PS,Sub-division,Dist, Pin No, State)

NAME & RESIDENTIAL ADDRESS OF SHOPKEEPERS

Name *
Date of Birth *
(dd/mm/yyyy)
Gender *
Mobile No *
Full Address with Pin No *
(Please mention : At/Vill, PO,PS,Dist, Pin No, State)

NAME & RESIDENTIAL ADDRESS OF EMPLOYERS

Name *
Date of Birth *
(dd/mm/yyyy)
Gender
Mobile No
Full Address with Pin No
(Please mention : At/Vill, PO,PS,Dist, Pin No, State)

NAME & RESIDENTIAL ADDRESS OF PARTNER

Name
Full Address with Pin No
(Please mention : At/Vill, PO,PS,Dist, Pin No, State)

NAME & RESIDENTIAL ADDRESS OF DIRECTOR

Name
Full Address with Pin No
(Please mention : At/Vill, PO,PS,Dist, Pin No, State)

BUSINESS DETAILS

Category of Establishment *
Nature of Business *
Date of Commencement of Business *
(dd/mm/yyyy)
LIN, If any

EMPLOYEE WORK DETAILS

No of Adult Male Employees *
No of Adult Female Employees

DECLARATION OF WEEKLY CLOSING DAYS

Full Closing Day *
Half Closing Day

DOCUMENTS

Valid trade License *
Deed of Memorandum
if Partnership Firm
List of employees *
Form X (appoinment letter) *
Substantiatinf Nature of Business
Others

SPONSORED INFORMATION AND FINAL SUBMISSION

Sponsored Name * Yes No
If Yes, Give the Sponsored Username

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