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Online License Application Form :

1 Year 2 Year 3 Year

Name of Establishment:
Telephone No. (s) :
Name of Contact Person :
Category / Nature of Business :
Our remittance of Rs.   being the licence fee payable by us is enclosed,
Vide Cheque / Demand Draft No. :
Dated :   drawn on.
At there:   branch.

Note : Cheque/Demand Draft to be drawn in favour of UNIQUE ENTERTAINMENT and remitted along with this Application form to the Head Office at New Delhi.