"FORM DD-I" for VIDEO GAME LICENCE 
"FORM DD-I"
PREMISES LICENCE
(For fees-Vide Rule 217 (3)
 

No. _______________________ of   2000
 

Premises Licence :
                In exercise of the powers conferred by Rule 109 of the Rules for Licensing and Controlling Place of Public Amusement (Other than Cinemas) and 
performance for Public Amusement, including Cabaret performance, Discotheque, Games, Melas and Tamashas, 1960 in the 
................................................................ made by District Magistrate, Licence is bereby granted, subject to the condition and 
restrictions laid down on the aforesaid Rules to Shri................................................................................ authorising him to keep a .................................................................................................................. known as ........................................................... and 
situated at .............................................. to keep open between 10.00 a.m. and 10.00 p.m. from this date till the ...................200 0  
subject nevertheless to suspension or revication under these Rules :
1.               No. of Machine/Table.
2.               Name & Description of the Machine/Table.
3.               No. & date of the certificate, obtained.

                Given under my hand and seal this .................date of ................... 2000. 

Amravati  District Magistrate,
 Amravati.

Conditions and Restrictions of the Licence
(i)              The Licencee at all times shall keep the premises clean and tidy.
(ii)            The Licensee shall not keep/operate or substitute machines other  than the aforesaid machines without obtaining prior permission from the 
Licensing Authority.
(iii)          The Licensee shall not induce, encourage or force any person in whatsoever manner to play the games premises,
(iv)          The Licensee shall not promote, encourage or connive gambling in whatever from,
(v)            The Licensee shall not permit in the Discotheque in the beginning, during any interval or at the end of the performance ,-
 (a)            any profanity or impropriety of language,
(b)            any indency of dress, dance, movement or gesture,
(c)            any offensive personation or representation of any individual,
(d)            anything calculated or likely to excite feelings or sedition or political discontent,
(e)            anything calculated or likely to cause riot or breach of peace or to promote or excite hostile feelings between different classes or to hurt the 
religious feelings of any individual or class of individuals.
(f)              any performance or game involving risk, damage or danger to the audience or public or which is objectionable to the audience or to the Licensing 
Authority.
 

                Memorandum of renewal of the above licence subject to the conditions and restrictions referred to in the Licence.
 

      Date of renewal				Date of expiry of renewal licence.			Signature of the Licensing Authority
       

"FORM H-1"
LICENCE FOR GAMES
(RULE 200)
(For fee, vide rule 217)
No.__________________________ of      2000.
        

        Licence to sell or keep for sale or offer or expose for sale any Ticket/Token of admission, pass or other evidence of the right to admission to a 
place of Public Amusement.
                In exercise of the powrs conferred by rule 200 for the Rules for Licensing and Controlling of Places of Public Amusement (Other than Cinemas) and 
performance for Public Amusement, including Cabaret performance, Discotheque, Games, Melas and Tamashas, 1960 in the 
................................................................... made with the previous sanction of the Govt. of Maharashtra by the District Magistrate, 
Amravati Licence is hereby granted, subject to the conditions and restrictions laid down on the aforesaid Rules in addition to the conditions laid down hereunder to 
 Shri.....................................................s/o........................................... to sale or keep for sale or offer of expose for sale any ticket, token of 
admission, pass or other evidence of the right of admission to the permanent/temporary place of public amusement (other than Cinema) known as 
........................................ situated at ..............................  

               This licence is valid till the ................ of ..................... 2000 and a fee of Rs. .................... due for the same has been paid by the Licencee.  
                The Licence is granted or renewed subject to the provision of the aforesaid rules and is liable to be suspended or cancelled for breach of any 
of the provisions of the aforesaid rules and the condition laid down thereunder, is punishable under the provisions of section 131 of the Bombay Police Act, 
1951.
                Given under my hand and seal this ................ day of /.. ................. 2000.
 

District Magistrate, Amravati.
 
Conditions and Restrictions of the Licence
                 The Licensee shall take all necessary precautions to see that the persons so admitted in the premises do not indulge in any act of gambling 
 

MEMORANDA OF RENEWAL
 Date of renewal			

Date upto which valid			

Fee paid																Signature of Licensing Authority