Personal Details

Name of Applicant

Middle Name

Last Name

Permanent Address

Permanent Address State

Permanent Address District

Permanent Address Pin Code

Correspondence Address

Correspondence Address State

Correspondence Address District

Correspondence Address Pin Code

Name of Firm

Name of Partners and Address

First Name*	Middle Name*	Last Name*

Address of Partners*

State*	District*	Pin Code*

Addresses of Showroom/Sale Premises*	State*	District*	Pin Code

Address of All Godowns and Depositaries*	State*	District	Pin Code

Details of The Experience/Year.*	Any Offences Punishable Under The Antiquities *	Whether the applicant/firm art treasure...

Applicant’s has been Register...*	Applicant Intends to Carry on The Business.*

State*	District*	Pin Code*

Varieties of Antiquities*	Category-Wise List Registered with Registering..*	Proof of Deposition of License Fee*