FORM IX
[SEE RULE 15(2)]
APPLICATION FOR RENEWAL OF LICENCE

1. Name and address of the contractor.
2. Number and date of the licence.
3. Date of expiry of the previous licence.
4. Whether the licence of the Contractor was suspended or revoked.
5. Number and date of the crossed demand draft enclosed.
Place:                                                                                 Signature of the Applicant
Date:
(To be filled in the Office of the Licensing Officer)
Date of receipt of the application with crossed demand draft No. and date.
Signature of the Licensing Officer