FORM VII
[SEE RULE 10(2)]
APPLICATION FOR ADJUSTMENT OF SECURITY DEPOSIT

Name and address of the Contractor	Number and date of application for fresh license.	Date of expiry of previous license.	Whether the previous license of the contractor was suspended or revoked.	Number and date of crossed demand draft of security deposit in respect of the previous license.	Amount of previous security deposit.
1	2	3	4	5	6

Amount of security deposit for fresh license	Number and date of crossed demand draft of the balance security deposit deposited with the fresh application	Number and date of certificate of registration of the establishment in relation to which the fresh license is applied for	Name and address of the principal employment	Particulars of fresh application	Remarks
7	8	9	10	11	12

Place:                                                                                             Signature of applicant
Date