SCHEDULE VB

( See rule 12(2) )

FORM LM2

Application for renewal of licance 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.

1. Name and complete address of the :

Manufacturing concern for which

licence is desired.

2. Manufacturer's Licence No. :

3. Name(s) address(es) of the proprietor(s) :

and/or partners and managing

Director(s) in case of Limited Company

4. (a) The types of articles which :

are manufactured as per

licence granted.

(b) Do you propose any change 7 :

5. The monogram or Trade marks used :

on articles manufactured by you.

6. Details of Workshop facilities :

7. Sales Tax Registration No. :

( To be certified by the applicant(s) )

Certified that I/We have read the Standards of Weights and Measurers (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 have deposited the scheduled licence fees of Rs…………… (Rupees ……………………) only to the Sub-Treasury/Bank on ……………………………… and the Original Challan is enclosed.

All the information furnished above is true to the best of my/our knowledge.

Place :

Date :

Signature and designation.