OFFICE OF THE COLLECTOR OF EXCISE
GOVT. OF NATIONAL CAPITAL TERRITORY OF DELHI
L - BLOCK; I.P. ESTATE, VIKAS BHAWAN: NEW DELHI
APPLICATION FORM FOR L-20 LICENCE
(To be submitted in quadruplicate)
1. Name & telephone No. of the applicant :
2. Whether individual/Pvt. Ltd.Co./Govt. concern :
3. Name of the Club/Hotel/Restt. and location of :
the premises where the party is proposed to be held
4. Purpose :
5. Date & timing for the party :
6. Approx. Nos of persons who will be Participating in the party
7. Whether the gathering will include any foreigner :And if so the approx. number
8. Whether any printed invitation cards have been Issued for the party (if so, enclose one copy)
9. Whether the host is regular member of the Club :
(incase the party is proposed to be held in a club)
if yes, the Membership No. to be indicated
10. Date and Serial No. of T.R.5 :
11. Whether Club/Hotel/Restt. Liquor to be used: Yes/No
If Not Date & No of TR5 for vend fee (Quantity)
Date_____________
Signature of the applicant.
Certified that the above party has been fixed in our club/hotel/restt/ and the particulars given above are correct. Only authorized liquor will be served after L-20 is granted.
Date_____________ Signature of the representative of the Club/Hotel/Restt.
Name in Capital Letters
Designation
For Office Use Only:-
L-20 granted for the above context
Date Official
Seal
To,
-
The Applicant
-
District Enforcement Office (_________ Distt.)
-
Concerned branch alongwith TR5.
-
PS to Excise Commissioner
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