Dibrugarh Municipal Corporation

Applications Details

* fields are mandatory

Application for^*

Fresh Trade Licence

Renewal of Trade Licence

Select Category^*

Homestay

Hostel

Paying Guest

Name of PG/Hostel/Homestay^*

Select Ward No^*

Local Police Station^*

Owner / Manager Details

* fields are mandatory

Are you the owner of the premises mentioned above?^*

Yes

No

Name of the Owner/Manager^*

Contact Number of the Owner/Manager^*

Email ID of the Owner/Manager^*

Address Details

* fields are mandatory

Address Line 1^*

Address Line 2

Pincode^*

Town/Location/Village^*

District^*

State^*

Uploads

Note: Only JPG, JPEG & PDF file of maximum 2MB accepted

Aadhaar Card of Owner / Applicant^*

PAN Card of Owner / Applicant^*

Property Tax Receipt^*

Geo-tagged photograph of the premises main entrance^*

I declare that all the information noted above is correct and to the best of my knowledge and belief and request for the grant of a license therefore

I hereby agree to abide by the guidelines for the registration and operation of Homestays, Paying Guest Accommodations, and Private Hostels as per the order issued by the Dibrugarh Municipal Corporation on 13/11/2024

Preview

Confirm the details before submitting

Application For

Category

Name of PG/Hostel/Homestay

Ward Number

Local Police Station

Are you the owner of the premises mentioned above?

No

Name of the Owner/Manager

Contact Number of the Owner/Manager

Email ID of the Owner/Manager

Address Line 1

Address Line 2

Pincode

Town/Location/Village

District

Dibrugarh

State

Assam

Number of entries

Number of exits

Is there a compound wall?

No

Availability of 24*7 watchman

No

Emergency exits available?

No

Whether Visitor’s register is being maintained?

No

Do you have CCTV Cameras installed?

No

If yes,CCTV recording back up for how many days?

How many workers(cook/maid/support staff, etc) are available?

Are you collecting identity proof for these workers?

No

Are fire extinguishers available?

No

Is there any Bio Metric access system?

No

Complaint box available?

No

First aid kit available?

No

Individual Lock and key for each cupboard available?

No

Are you collecting local guardian contact details of the inmates?

No

Do you collect ID proof of inmates before renting accommodation?

No

Max number of person/inmates that can be accommodated in the premises

Any other special security measure or initiative of yours that you would like to share

Applications Details

Owner / Manager Details

Address Details

Additional Details

Others Details

Uploads

Preview