FORM III
(See Rule 16)
Grant of licence for establishment of psychiatric hospital/nursing home

I............................. being the licensing authority under the Mental Health Act, 1987, after considering the application received under Sec. 7 and satisfying the requirements provided for in Sec. 8 and the other provisions of the Mental Health Act, 1987 (Central Act 14 of 1987) and the rules made thereunder, hereby grant the licence for establishment/ maintenance of a psychiatric hospital or nursing home in favour of (the applicant.)
2. The licence shall be valid for the period commencing from ………… and ending with …………. The licence shall be subject to the conditions laid down in the Mental Health Act, 1987 (14 of 1987) and the rules made thereunder.
Licensing Authority
Place : ………..
Date : ………..