e-District Manipur | Government of Manipur

Cinematograph License Application Form

Name of Applicant

Date of Birth (mm/dd/yyyy)

Phone Number

Applicant's Full Address

Address Line 1

District

Pincode

Cinematograph's Details

Cinematograph Name

Cinematograph Address

Licenced Till (mm/dd/yyyy)

Cinematograph District

Cinematograph Sub-Division

Address To

District Commissioner
Arts and Culture Department

Declaration :

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