SCHEDULE VA

( See rule 12(1) )

FORM LM1

Application for Licence as Manufacturer of Weights, Measures, Weighing Instruments and Measuring Instruments under the Standards of Weights and Measures ( Enforcement ) Act, 1985.

To

The Controller of Legal Metrology, West Bengal,

45, Ganesh Chandra Avenue, 3^rd floor,

Kolkata - 700 013.

To be filled by the Comments of the Inspecting

applicants. Officer

___________________________________________________________________________________________

(1) (2) (3)

___________________________________________________________________________________________

1. Name of the manufacturing concern for

which licence is desired :

2. Complete address of the concern

a) Office

b) Workshop/factory

c) Godown

d) Showroom

e) Branches, if any

3. Date of establishmentworkshop/factory :

4. Name(s) address(es) of proprietor(s) and/or

partners and managing Director(s) in the

case of Limited Company :

5. The date and number of registration in

case of a Registered Factory :

6. Number and date of current Municipal

Trade Licence :

7. Nature of manufacturing activites

at present :

8. The type of articles proposed to be manu-

factured, viz. - :

(i) Weights

(ii) Measures

(iii) Weighing Instruments

(iv) Meauring Instruments with details

in each case

9. The number of persons employed in each

of the above branches of production :

(i) Skilled ………………………………..

(ii) Unskilled ………………………………

(iii) Specialists trained in the line ………….

10. The monogram or trade mark intended to

be imprinted on articles to be manufactured :

11. Details of machinery, tools, accessories,

etc., owned and used for manufacturing weights,

measures, etc. :

12. Have you a foundry/workshop on ownership

or longterm lease ? If not, state the nature and

details of arrangements made or to be made

in this regard :

13. Indicate facilities for steel casting and hardness

testing of vital parts. :

14. Is electric energy available ? :

15. Have you received any loan from Government ?

If so, give details :

16. Name of bankers, if any :

17. Sales Tax Registration number :

18. Give details of quot, allotment of raw

material for the last three years :

19. Have you applied previously for licence ?

If so, with what results ? :

20. When can you produce for inspection

samples of your products for which licence

is desired ?

( To be certified by the applicants )

Certified that I/We have read the Standards of Weights and Measures (Enforcement) Act, 1985 and the West Bengal Standards of

Weights and Measures (Enforcement) Rules, 1990 and agree to abide by the same and also the administrative orders and instructions issued

or to be issued thereunder.

I/We agree to deposit the schedule licence fees with Government as soon as required to do so by the Licensing Authority.

All the informationfurnished above is true to the best of my/out knowldege.

Place : Signature and Designation

Date :

( To be filled in by Departmental Officer of the State Government )

Date of receipt of application …………………………

Serial Number of application ………………………….

Date of Inspection ………………………..

Recommendation of Inspecting Officer :

Place : Signature and Designation of Inspecting Officer.

Date :

Final Orders of Licensing Authority

Licence granted/refused ……………………………

Licence No. ………………………..

Valid till ……………………………

Place : Signature and designation.

Date :