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Mobile Toilet Rent

Full Name *

Mobile No. *

Email ID *

Present Address *

Address where Mobile Toilet will be stationed *

From Date * *

To Date * *

No. of Days *

No. of Seats *

Approx KM *

Charges *

Note : Fees of Rs. 500/- Per Day/Per Seat + transportation charges of Rs. 30/- Per km + Security deposit(Security deposit refundable)

Id Proof(Aadhaar Card/ Voting Card/ Pan Card) *

Address Proof *

Note : Security deposit of Rs. 2000/- (Debit card/ Credit card or Cheque/DD in favour of Chief Officer, Silvassa Municipal Council).(Subject to availability of required mobile toilets)