Signage/Hoarding Application(for advertisement)
* Indicates Mandatory Fields
Type Of Application:
*
--Select--
Long Term(1 yr)
Short Term
Name Of Farm Or Agency:
*
Name Of Applicant:
*
Father Name:
*
Address:
*
Select Empanelled or Empanelled not:
*
Not Empanelled
Empanelled
Description of the subject matter and Language Employed:
*
Name And address of the person or the firm on whose
behalf the advertisement is displayed
including the advertisement agency Licence no:
*
Mobile Number:
*
Trade Lic Number:
Select Category Of Hoarding:
*
Select Zone:
*
Select
Central Zone
North Zone
East Zone
South Zone
Head Office
Type Of Land:
*
--Select--
Govt
Pvt
Enter Per Hording Size:
*
(In sqft)
Hoarding Display Period:
*
Total Number:
*
Hoarding Display Place Or Location:
*
Upload Id Proff:
*
Upload Hoarding Scan Copy:
Trade Licence:
Agreement Paper:(If Pvt)
Payment Summary
***
Kindly Note down the Transaction-id for future reference
Application Number:-
Transaction Id:-
Amount:-
Note:Your Application will not processed untill payment is success...
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