SCHEDULE VB

( See rule 12(2) )

FORM LR2

Application for renewal of licance as Repairer 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 repairing concern/

person seeking the licence :

2. Repairer's licence No. :

3. Name(s) and address(s) of proprietor(s) and/or

partners and Managing Director(s) in the case of

Limited Company :

4. Number and date of current Municipal Trade Licence :

5. (a) The types of articles which are repaired as per

licence granted :

(b) Do you propose any change ? :

6. Area in which you are operating :

7. Have you sufficient stock of loan/test weights, etc. ? :

8. Please give details with particulars of stamping :

[ To be certified by the applicant(s) ]

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) Rule, 1990 and agree to abide by the same as well as and the administrative orders and instructions issued or to be issued thereunder.

I/We have deposited the Scheduled licence fees of Rs.___________ (Rupees__________________________) only in the Sub-Treasury/Bank on ____________ and the original challan is enclosed.

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

Place :

Date :

Signature and designation.