Nagar Panchayat Dhamdaha

Asterisk (*) marked fields are mandatory.

Firm Name*

Applicant Name*

Father's Name*

Mobile Number*

Ward No*

Email Address

Postal Address *

Firm Type*

Is BPL*

Name of Owner of Business Premises *

Business Detail*

Business Address*

Business Ward No.*

DOE*

Tin Number

PAN*

Identification Document Type

Identification Document Number

Property Number

GST Registration Number

Area of Business Premises(in sq feet)*

Non Residential Usage Type*

Category Type*

License Apply For (years)*

Rate

Payable Amount