,Q&48 U;k; 1. Full name of the applicant. Application for land allotment for cinema purpose 2. Address of the applicant Village Tehsil District 3. Status and previous experience of the Applicant. 4. Is the application for a permanent Or touring cinema? 5. Place where the cinema is proposed to be located survey number or numbers of the plot or plots village district "Site plan drawn to a scale of to foot covering an area 200 yards from the boundaries of the proposed site showing - (1) The position of the proposed premises in relation to any adjacent premises and to the public through fare upon which the site of such premise abuts; and (2) Attached sheds, if any, in the neighborhood. 6.Possession by the applicant or other places, if any licensed under the Aet. (a) Whether in the same Locality or elsewhere (b) Whether at the time of applying For licence of at any previous time 7.Distance by public road of the proposed site to the nearest (1)Permanent cinema (2)Touring cinema (3)Sohool (4)Hospital (5)Temple or other religious institution 8. Interest of the Public generally likely to be served by the located of the Cinema 9. Population of the place according To the latest census figures. 10. Suitability of the place where the cinema Exhibitions are proposed to be given. 11. Adequacy of the existing places for the Exhibitions of cinema films in the locality 12. Benefit to any particular locality or localities To be afforded by the opening of a new place Of Cinema exhibition Signature of applicant Date :
