DELHI STATE CIVIL SUPPLIES CORPORATION LIMITED

AAPURTI BHAWAN, 7-9, ARAM BAGH, NEW DELHI-110055

APPLICATION FORM FOR L-6 VENDS

S.No.________________

1.
2.

NAME OF THE CORPORATION (DTTDC.

DSCSC. DSIIDC. DCCWS)
ADDRESS OF THE PROPOSED L-6 VEND

:
:

3.

NAME & ADDRESS OF THE LAND

OWNER

4.

DETAILS OF LEASE/RENT AGREEMENT

REGARDING THE PROPOSED
PREMISES (WITH DOCUMENTARY
PROOF)

5.

MEASUREMENT OF FLOOR AREA OF ::

THE PROPOSED PREMISES IN FEET
LENGTH

BREADTH

HEIGHT

TOTAL AREA IN SQ. FEET

6.

WHETHER THE PROPOSED PREMISES

IS IN APPROVED COMMERCIAL
COMPLEX NOTIFIED COMMERCIAL
AREA (WITH DOCUMENTARY PROOF)

7.

WHETHER THE LAND LORD OF THE

PREMISES IS IN LEGAL AND PHYSICAL
POSSESSION OF THE PREMISES
(DOCUMENTARY PROOF)

8.

WHETHER THE PREMISES CONFORMS

TO THE CONDITIONS MENTIONED FOR
GRANT OF L-6 LICENCE

9.

WHETHER THE PREMISES IS IN

CONFORMITY WITH THE RULES AND
REGULATIONS OF LOCAL BODIES
(DOCUMENTARY PROOF IN THE FORM
OF AFFIDAVIT)

D.S.C.S.C. LTD.

-210.

WHETHER THE PREMISES MEET THE

REQUIREMENTS UNDER RULE 51(1) OF
DELHI EXCISE ACT/DELHI EXCISE
RULES,2010

11.

WHETHER THE PROPOSED PREMISES

IS A PUCCA BUILDING

12.

WHETHER THE PROPOSED PREMISES

IS IN USE AT PRESENT AND, IF SO,
THE NATURE OF THE BUSINESS
CARRIED ON

13.

WHETHER ANY SUIT IS PENDING IN

ANY COURT OF LAW REGARDING
OWNERSHIP AND POSSESSION OF
THE PREMISES (DECLARATION IN
AFFIDAVIT)

14.

WHETHER PREMISES ARE FITTED

WITH ELECTRICITY AND WATER
CONNECTION (DECLARATION IN
AFFIDAVIT)

15.

IF THE PREMISES IS JOINTLY OWNED

WHETHER NO OBJECTION
CERTIFICATE IS OBTAINED FROM ALL
OTHER MEMBERS/ PARTENERS
(ATTESTED PHOTOCOPY OF THE NOC)

16.

WHETHER PROPER SITE MAP OF THE

SHOP HAS BEEN ENCLOSED

17

ANY OTHER INFORMATION

REGARDING SUITABILITY OF THE
PREMISES

DECLARATION : CERTIFIED THAT THE PARTICULARS STATED ABOVE ARE CORRECT TO THE
BEST OF MY KNOWLEDGE AND BELIEF AND NO MATERIAL FACTS HAVE BEEN CONCEALED.

(SIGNATURE OF THE APPLICANT)

On a stamp paper of Rs. 10/-

AFFIDAVIT

I,___________________________r/o___________________________ do hereby declare

as under:1.
That
I,
being
the
owner/lawful
occupant
of
premises
bearing
No.__________________________ and have offered DSCSC to shift/open a liquor vend in it.
2.

shop

That there is no suit pending in any court regarding the above said shop.

3.
That I intend to accept rent compensation in r/o the said premises on rent of Rs.____/- per
month or rent compensation @
______% of gross profit of sale per month.
4.
That the said property lies in the conforming area as per the rules and regulations of the
local bodies/authorities.
5.

That the said property is duly fitted with an electric connection.

DEPONENT
VERIFICATION:Verified at Delhi/New Delhi on this ______________________ that the contents of the
above affidavit are true to the best of my knowledge and belief and nothing has been concealed
therefrom.

DEPONENT