Application Form for Hiring of the Corporation Town Hall at ERNAKULAM 1 Name of applicant : 2 Profession : 3 Address : 4 Date and time of function : 5 Nature of function : 6 If the function is an entertainment state whether the admission is free or on sale of Tickets, passes or donation : 7 Whether the entertainment is stagged by amatures or professionals : Professionals Amatures 8 If by amatures, state the name of the Club, Association or persons taking part : 9 Amount paid as rent : 10 Amount deposited for current charges etc. : 11 Total amount paid and the receipt No. and date. *Here mention Drama, Dance, Music performance or Tea party Meeting, Conventions, Seminars, Exhibition etc. : : Signature: Name of applicant. I do hereby declare that I have read the bye laws governing the rules for the hiring of the Corporation Town Hall and I agree to abide by the rules and agree to pay the cost breakages, damages and loss to the furniture , fittings etc. of the Town Hall that may occur during my occupation. Place : Signature of applicant. Date :
