e-District Manipur | Government of Manipur

Name of Applicant

Father/Husband Name

Date of Birth (mm/dd/yyyy)

Applicant's Full Address

District

Pin Code Invalid pincode

Mobile Number

Name of Place/Venue

Venue Address

District of the Venue

Sub-Division of the Venue

Permission Sought For

Purpose

Date of Use (mm/dd/yyyy)

Time of Use

Declaration :

I do hereby declared that the particulars furnished in this form are true to the best of my knowledge.