12/5/2019 ServicePlus

Application Processing Location

Application Reference No : TBSE_REG/2019/10558

District Office Name : Rohtas -2

Sub Division : Sasaram

Establishment Details

Name of the Establishment : MEENA CYBER CAFE

Full postal address of the MOH BASTIMORE PO AND PS SASARAM

Establishment :

Type of the Establishment : Shops

District : ROHTAS

Block/Circle : SASARAM

Location of the Establishment HOUSE NO 5 WARD NO 20 PO AND PS SASARAM

(including the number of holding / ward
and the name of the police station in
which it is situated) :

Pincode : 821115

Opening Date of Establishment : 05/05/2012

Whether the Establishment is No

registered under the Bihar Sales Tax
Act 1947(Now Bihar Finance Act,
1981) :

Is it a Firm / Private Entity : : Private Entity

Maximum Number of persons proposed to be employed on any day during the

calender year in which this application is filed

Adult (Male and Female) : 1

Young Person (Male and Female) : 1

Children (Male and Female) : 0

serviceonline.bihar.gov.in/viewCitizenApplication.do?applId=20859876&paymentDataFlag=Y&CurrProcId=121211555&backBtnFlag=N&serviceLinkFla… 1/3
12/5/2019 ServicePlus

Number of Employer's Family : 2

Final Fee : 160

Employer Details (Manager,Agent or any other person) who is in the immediate

charge of the general management or control of the establishment

Name of the Employer : RANI KUMARI

Permanent Address : MOH PAITHAN TOLI PO AND PS SASARAM DISTT ROHTAS BIHAR 821115

Designation of Employer : OWNERSHIP

Mobile Number : 7781884894

Email Id : nehassm83@gmail.com

Pincode : 821115

Declaration

I hereby declare that to the best of my knowledge and belief the particulars given above are true

I Agree : Yes

Annexure List

1) Photo ID card of Employer Photo ID card of Employer

2) Rent Agreement / Municipal Receipt Rent Agreement / Municipal Receipt

3) Proof of opening of establishment Proof of opening of establishment

4) Declaration regards non-registration of Declaration regards non-registration of establishment

establishment prior to registration prior to registration

5) Photograph of the sign board of Photograph of the sign board of establishment /

establishment / shops shops

6) Signature with Designation of the Signature with Designation of the Employer

Employer

7) Signature of Applicant Signature of Applicant

8) Additional attachment 1 Additional attachment 1

9) Additional attachment 2 Additional attachment 2

serviceonline.bihar.gov.in/viewCitizenApplication.do?applId=20859876&paymentDataFlag=Y&CurrProcId=121211555&backBtnFlag=N&serviceLinkFla… 2/3
12/5/2019 ServicePlus

10) Additional attachment 3 Additional attachment 3

11) Additional attachment 4 Additional attachment 4

Payment Details

Amount 165.00(In Rs.)

Reference BHR201912109591E
Number

Payment Date 05-12-2019

Additional Details

Apply to the Office Office of District Labour Superintendent (Labour superintendent- Rohtas -2 )

serviceonline.bihar.gov.in/viewCitizenApplication.do?applId=20859876&paymentDataFlag=Y&CurrProcId=121211555&backBtnFlag=N&serviceLinkFla… 3/3