OFFICE OF THE COMMISSIONER OF EXCISE,ENTT. & LUXURY TAX
L-BLOCK ; VIKAS BHAWAN ; I,P.ESTATE ; NEW DELHI
APPLICATION FORM FOR L-19/L-19A LICENCE
1.
Name of Licence L-19 or L19/A
2.
Name the Club
3.
Address of the Club premises
4.
Number & Date of Registration
Certificate Regd. with Firm & Societies (Please Attach a Copy)
5.
Resolution dully passed by Managing Committee to have L-19 Licence in Club Premises.
6.
Resolution regarding meeting of the liabilities of the Club.
7.
List of the Bearers.
8.
Name of the Authorized Person to deal with Excise Matters.
9.
Site Plan to Show the Liquor Store
10.
Site Plan to show the liquor Service Area.
11.
Detail of installation of Fire Fighting Equipment with Certificate
12.
Proof of Ownership of the Club Premises with Documents.
13.
N.O.C. from the D.C.P. Of the Area.
14.
Total No. of Members Regd.in the Club with List.
15.
Memorandum of Article of Association
16.
Please indicate the distance from the Club Premises to:-
(a) Religious Place
(b) Educational Institution
We have gone through the Punjab Excise Act, 1914 as extended to the Union Territory of Delhi. Delhi Liquor Licence Rules, 1976 as amended from time to time, Delhi Intoxicant (Sales and Licence) Rules, 1976 and other relevant, excise rules and understood the same.
We have also understood that the application for the grant of L19L-19/A- licence shall be considered by the competent authority under the Delhi Liquor Licence Rules, 1976 as amended from time to time and the Delhi Intoxicant (Sales and Licence) Rules, 1976 and the other relevant Excise Rules for the grant of L-19-L19/A Licence.
Note : We further clearly understand, the application/licence is liable to be rejected/cancelled for furnishing incomplete/incorrect particular and for any reasons whatsoever by the appropriate/competent authority. We understood that no compensation whatsoever on this account or on any other account shall be payable by the Delhi Administration in the event of non-grant/cancellation of L-19-L19/A Licence by the appropriate Competent Authority.
(Signature of Applicant)
Certified that the information given above is true and correct on the basis of the facts on record and to the best of my knowledge and belief.
(Signature of Applicant)
LIST OF DOCUMENTS FOR GRANT OF L-19/L-19 A LICENCE FOR CLUB
1.
Memorandum or Article of Association
2.
Certificate of registration with Registar of firms and society
3.
Copy of Resolution duly pass by managing committee to have L-19 licence in club premises.
4.
Resolution regarding meeting of the liabilities of the Clubs
5.
List of office Bearers
6.
Name of authorized person to deal with Excise matters
7.
Specific site plan showing liquor service area and store
Local Services 