FORM F

(See Rule 23)

TEMPORARY PERMIT FOR EXHIBITION UNDER THE KERALA CINEMAS (REGULATION) ACT, 1958

Whereas.............(full name & address) has applied for the renewal of his licence and the said licence has been retained in my Office pending disposal of his application, he is hereby permitted temporarily to exhibit films in (here enter description of premises) under the Kerala Cinemas (Regulation) Act, 1958 for a period of one month from this date, subject to the provisions of Rule 23 of the Kerala Cinemas (Regulation) Rules 1958. Dated this the ..............day of...................... 19.

Licensing Authority