Name of the Bed & Breakfast Establishment

Category applied for

Name and address of the promoters/owners with a note on their background

Complete postal address of the Bed & Breakfast Establishment:

a) Telephone number - _________________________________________________________

b) Fax - _____________________________________________________________________

c) Email address - _____________________________________________________________

d) Mobile Number of the promoter - _______________________________________________

Distance of the Bed & Breakfast Establishment in kms. from:

a) Airport - ____________________________________________________________________

b) Railway Station - _____________________________________________________________

c) City Centre - ________________________________________________________________

d) Nearest main shopping centre - _________________________________________________

e) Nearest bus stand /scheduled city bus stop - _______________________________________

Details of the Bed & Breakfast Establishment:

(a)Area (in sq. metres) with title – owned/ leased (copies of sale/ lease deed to be enclosed)

(b)Whether building plan approved from local authorities (copy to be enclosed)

(c)Whether clearance obtained from the Police Authorities regarding the antecedents of the owner      / owners and the proposed activity (copy to be enclosed)

(d) Number of rooms and area for each type of room in sq.ft. (single/double/suites)

(e) Number of attached baths

(f) Details of public areas for the following facilities in sq. ft.

     (i) Lobby/lounge
     (ii) Dining space
     (iii) Parking facilities

(h )Details of Fire Fighting equipment/ hydrants etc. if any

Details of payment of application fee

Check list details as per Checklist (enclose a copy of the checklist duly certified that the facilities are available in the establishment)