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MIKSHA PG Registration
Section A – Applicant Information
Full Name of Applicant / Authorized Person
*
Organization / Business Name (if applicable)
Designation / Role
Mobile Number
*
Email Address
*
Aadhaar Number / Business Registration Number
Section B – Property Information
Property Name
*
Street Address
*
Apartment, suite, etc
City
State
Pin Code
Total Number of Residents (Capacity)
Total Number of Floors
Number of Rooms
Room Types - specify count for each
Single Room
Single Room
0
1
2
3
4
5
6
7
8
9
10
10+
Double Room
Double Room
0
1
2
3
4
5
6
7
8
9
10
10+
Triple Room
Triple Room
0
1
2
3
4
5
6
7
8
9
10
10+
Dormitory
Dormitory
0
1
2
3
4
5
6
7
8
9
10
10+
Washroom Count & Ratio
Number of Washrooms Available
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
40+
Number of Residents per Washroom
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
40+
Attached Washrooms
Attached Washrooms ?
Yes
No
Mixed
Meals Provided
Meals Provided
Yes
No
Lift Facility
Lift Facility
Yes
No
Parking Availability
Parking Availability
Yes
No
Capacity (2 wheeler)
Capacity (4 wheeler)
Security Arrangements
24x7 Security Guard
Yes
No
CCTV Surveillance
Yes
No
Access Control
Card
Biometric
Visitor Logbook
None
Amenities Provided
Wi-Fi
Air Conditioning (AC)
Refrigerator (Shared / Room-wise)
Washing Machine(s)
Dining Hall
Pantry / Kitchen for Self-Cooking
Hot Water (Geyser/Solar)
Common Room / Recreation Area
Study/Work Space
Garden
Nearby Amenities (within 1 km)
Public Transport (Metro/Bus/Auto Stand)
Market / Grocery Shops
Pharmacy / Hospital
Educational Institutions
Gym
Restaurant
Others
Section C – Compliance Documentation (Uploads)
Property Ownership Deed / Lease Agreement
*
Choose File
No file chosen
Delete uploaded file
Municipal Trade License / Registration Certificate
*
Choose File
No file chosen
Delete uploaded file
Fire Safety NOC (if applicable)
*
Choose File
No file chosen
Delete uploaded file
FSSAI License (if meals provided)
*
Choose File
No file chosen
Delete uploaded file
Building Occupancy Certificate / Approved Building Plan
*
Choose File
No file chosen
Delete uploaded file
Sample Tenant Agreement / House Rules Document
*
Choose File
No file chosen
Delete uploaded file
Police Verification Proof (Owner/Manager)
*
Choose File
No file chosen
Delete uploaded file
Police Verification Record of Tenants (if available)
*
Choose File
No file chosen
Delete uploaded file
Structural Safety Certificate (if building >15 years old)
*
Choose File
No file chosen
Delete uploaded file
Latest Water Quality Test Report (if applicable)
*
Choose File
No file chosen
Delete uploaded file
Section D – Declaration by Applicant
By submitting this application:
I certify that all information provided is true and accurate.
I agree that my property will undergo a MIKSHA inspection and scoring audit.
I accept that certification is valid for 2 years, subject to compliance and surprise checks.
I understand that the certification fee is non-refundable.
I authorize MIKSHA to use my property details for maintaining the Certified Directory.
I will not misuse or alter the MIKSHA Seal and will use it only for the certified property.
Proceed to Fee
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