Register Establishment | Safe Stay Initiative

Establishment Registration Form

As a Part of Safe Stay Initiative

Ownership & Identity Information

Business Name

Registration Type

Business Operating License Number

Name of Owner

Name of Manager

Owner Phone Number

Alternate Owner Phone Number

Office Phone Number

Owner Email Address

Owner Passport Profile Image

👤

Upload a clear, front-facing passport-sized portrait photograph of the primary owner. Supported formats: JPG, PNG.

Establishment Particulars & Location

Type of Entity

No. of Employees Working

Subdivision Jurisdiction

Nearby Police Station

Live Geolocation Coordinates

✅ Captured Successfully

Latitude Longitude

Complete Facility Physical Address

Mandatory Facility Evidence Images (4 Required)

📷 Front View *

📷 Interior Main *

📷 Corridor Area *

📷 Exit/Security *

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