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“FORM”

(See Rule 7 (v) (e))

VERIFICATION OF THE WARD COUNCILLOR FOR ISSUE OF TRADE LICENSE

I Ward Councillor of the _______________________________________Ward of Gangtok Municipal


Corporation do hereby certify that Smt. / Shri __________________________________________S/o
_____________________________________ is a bona fide SSC/COI holder and bona fide resident
of this Ward.

I also certify that on verification i found that Smt. / Shri ____________________________________


has taken on rent/ lease/ vide agreement dated _________________________ the shop premises from
Smt. / Shri ______________________________________________________________S/o, D/o,
W/o
__________________________________________ of _____________________________________
the owner of the house for running his/ her business.

I also certify that the premises on which the proposed business is intended to be run does not fall
within road reserve and there is no encroachment of the forest land or Government land thereon and in
the event of license being granted to him/ her, he/ she shall run the business herself and shall not
sublet the license to any person/ persons.

Dated:

Seal & Signature


Ward Councillor

S.G.P.G. – 7/Comp.5/UDHD/5000/29.12.14

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