TEMPORARY BAR LICENSE
Applicant Name:
*
Please Enter Applicant Name
Email Address:
Please Enter Email
Please Enter Valid Email Address
Mobile Number:
*
Please Enter Mobile Number
Business Name:
*
Please Enter Business Name:
Plot/Building Number :
*
Please Enter Plot/Building Number
Road/Street:
*
Please Enter Road/Street Name
Landmark:
Please Enter Landmark
PAN:
Please Enter Business PAN
Select State:
*
Select State
Assam
Please Select state
Select District:
*
Please Select District
Select Sub-Division:
*
Select Sub-Division
Sub-Division is required
User Name:
*
Please Enter User Name
User ID already taken
Password:
*
Please Enter Password
Must have at least one capital letter, number and one special character out of set [!@#$%^&*]! and length should be 8 charaters
Confirm Password:
*
Please Enter Confirm Password
Password & Confirm Password Not Match
Must have at least one capital letter, number and one special character out of set [!@#$%^&*]! and length should be 8 charaters
Upload PAN Copy:
Upload PAN Copy
Please Upload File Less Than 5MB
Verification Code
Get New Code
Enter the Verification Code
*
Please Enter Valid Verification Code
One Time Password
Enter One Time Password
Please Enter Valid OTP Number
Verification Code
*
Get New Code
Enter the Verification Code
*
Please Enter Valid Verification Code
close
