2
Dear Friends
Please purchase the Factories Rules of your state and check on the back side of the book in which you will have all the forms and registers format
However this is the format available in Factory rules, which you can make use of it.
FORM NO. 2 (From Tamil Nadu Factory Rules)
Application for registration and grant or renewal of licence for the year
.. and notice of occupation specified in sections 6 and 7 ( to be
submitted in Triplicate).
1. Full name of the factory with
factory licence number if, already
registered before the name of
person or persons to whom the
present licence is to be granted
and issued.
2. (a) Full postal address and
situation of the factory (Door No.
Survey Nos. etc.).
(b) Full address to which
communications relation to
the factory should be sent.
(c) Police Station in whose
jurisdiction the factory lies.
3. Particulars of the owners of the
premises or building (including
the precincts thereof) referred to
in Section 93
Name
Age
Residential address
Fathers Name
4. Particulars of the occupier of the
factory who has ultimate control
over the affairs of the factory and
in whose name the licence is to
be issued (please see Section
2(n) )
Name
Age
Residential address
Fathers Name
Note :- (1) Where the occupier of the factory is a firm or other association of
individuals or a company the above particulars should be
furnished in respect of all the partners or members of the firm or
association or the directors or shareholders of the company.
16
(2) In the case of a factory owned or controlled by the Central
Government or any State Government or any Local Authority, the
person or persons appointed to manage the affairs of the factory
by the Central Government, the State Government or the Local
Authority as the case may be, shall be deemed to be the occupier.
5. Particulars of the Manager of the
factory for the purpose of the Act
Name
Age
Residential address
Fathers name
6. Nature of manufacturing process
/ processes
(a) Carried on in the factory
during the preceding
calendar year (in the case of
factories already in
existence).
(b) To be carried on in the
factory during the calendar
year for which this application
for licence is made.
7. Particulars of principal products
manufacture during the
preceding calendar year
Sl. No. Product Name Value in Rs.
8. (a) Particulars of power actually
installed --
SNo. Nature of power Quantity in HP Remarks Whether stand by etc.
(b) Particulars of power proposed to be
additionally installed, if any during
the calendar year for which this
application for licence is made.
17
SNo. Nature of power Quantity in HP Remarks Whether stand by etc.
(c) Maximum quantity (in H.P.) that
can be used at any one time during
the calendar year for which this
application for licence is made.
9. (a) Whether the factory is having any
pressure vessels; if so, the
number of pressure vessels may
be indicated.
(b) Whether the factory management
had remitted fees for the testing
of pressure vessels by the
notified persons of Factory
Inspectorate.
(c) Whether the factory is engaged
in Dangerous Operations as
indicated under Rule 95 of the
Tamil Nadu Factories Rules,
1950; is so, whether the occupier
of the factory has paid fees for
periodical medical examination
of the persons employed, by the
Certifiying Surgeon.
10. (a) Maximum number of workers
proposed to be employed on any
one day during the calendar year
for which this application for
licence is made (please see the
slab limits in the Schedule to
Rule 4).
(b) Maximum number of workers
actually employed on any one
day during the preceding
calendar year.
(c) Number of workers to be
ordinarily employed in the
factory.
11. Number of calendar years for which
grant or renewal of licence is required
(indicate the exact calendar year /
years).
18
12. In the case of a factory constructed or
extended after the date of the
commencement of the rules --
(a) Reference number and date of
approval of the plans for site,
whether for old or new buildings
and for constructions or extention
of factory by the State
Government / Chief Inspector.
(b) Reference number and date of
approval of the arrangements if
any, made for the disposal of trade
waste and effluents and the name
of the authority granting such
approval.
13. Amount of fee
Rs
(Rupees
.)
paid in
.
Bank / Treasury / Sub
Treasury on
vide
Challan No. / D.D.
No ..
Dated: ..
is enclosed.
14. Tamil Nadu Labour Welfare Fund :
Whether contribution to the Labour
Welfare Fund for the previous year has
been remitted and, if so, furnish the
details of amount remitted, date of
remittance and mode of remittance (by cheque / cash / challan).
Signature of the Manager. Signature of the Occupier
Name in capital letters. Name in capital letters.
Date :
------------------------------------------------------------------------------------------------------
Note : (1) This form should be completed in ink in block letters or type.
(2) If power is not used at the time of filling of this form, but is introduced later
the fact should be communicated to the Chief Inspector immediately.
(3) If any of the persons named against item 4 as minor, the fact should be
stated.
From India, Kumbakonam
Please purchase the Factories Rules of your state and check on the back side of the book in which you will have all the forms and registers format
However this is the format available in Factory rules, which you can make use of it.
FORM NO. 2 (From Tamil Nadu Factory Rules)
Application for registration and grant or renewal of licence for the year
.. and notice of occupation specified in sections 6 and 7 ( to be
submitted in Triplicate).
1. Full name of the factory with
factory licence number if, already
registered before the name of
person or persons to whom the
present licence is to be granted
and issued.
2. (a) Full postal address and
situation of the factory (Door No.
Survey Nos. etc.).
(b) Full address to which
communications relation to
the factory should be sent.
(c) Police Station in whose
jurisdiction the factory lies.
3. Particulars of the owners of the
premises or building (including
the precincts thereof) referred to
in Section 93
Name
Age
Residential address
Fathers Name
4. Particulars of the occupier of the
factory who has ultimate control
over the affairs of the factory and
in whose name the licence is to
be issued (please see Section
2(n) )
Name
Age
Residential address
Fathers Name
Note :- (1) Where the occupier of the factory is a firm or other association of
individuals or a company the above particulars should be
furnished in respect of all the partners or members of the firm or
association or the directors or shareholders of the company.
16
(2) In the case of a factory owned or controlled by the Central
Government or any State Government or any Local Authority, the
person or persons appointed to manage the affairs of the factory
by the Central Government, the State Government or the Local
Authority as the case may be, shall be deemed to be the occupier.
5. Particulars of the Manager of the
factory for the purpose of the Act
Name
Age
Residential address
Fathers name
6. Nature of manufacturing process
/ processes
(a) Carried on in the factory
during the preceding
calendar year (in the case of
factories already in
existence).
(b) To be carried on in the
factory during the calendar
year for which this application
for licence is made.
7. Particulars of principal products
manufacture during the
preceding calendar year
Sl. No. Product Name Value in Rs.
8. (a) Particulars of power actually
installed --
SNo. Nature of power Quantity in HP Remarks Whether stand by etc.
(b) Particulars of power proposed to be
additionally installed, if any during
the calendar year for which this
application for licence is made.
17
SNo. Nature of power Quantity in HP Remarks Whether stand by etc.
(c) Maximum quantity (in H.P.) that
can be used at any one time during
the calendar year for which this
application for licence is made.
9. (a) Whether the factory is having any
pressure vessels; if so, the
number of pressure vessels may
be indicated.
(b) Whether the factory management
had remitted fees for the testing
of pressure vessels by the
notified persons of Factory
Inspectorate.
(c) Whether the factory is engaged
in Dangerous Operations as
indicated under Rule 95 of the
Tamil Nadu Factories Rules,
1950; is so, whether the occupier
of the factory has paid fees for
periodical medical examination
of the persons employed, by the
Certifiying Surgeon.
10. (a) Maximum number of workers
proposed to be employed on any
one day during the calendar year
for which this application for
licence is made (please see the
slab limits in the Schedule to
Rule 4).
(b) Maximum number of workers
actually employed on any one
day during the preceding
calendar year.
(c) Number of workers to be
ordinarily employed in the
factory.
11. Number of calendar years for which
grant or renewal of licence is required
(indicate the exact calendar year /
years).
18
12. In the case of a factory constructed or
extended after the date of the
commencement of the rules --
(a) Reference number and date of
approval of the plans for site,
whether for old or new buildings
and for constructions or extention
of factory by the State
Government / Chief Inspector.
(b) Reference number and date of
approval of the arrangements if
any, made for the disposal of trade
waste and effluents and the name
of the authority granting such
approval.
13. Amount of fee
Rs
(Rupees
.)
paid in
.
Bank / Treasury / Sub
Treasury on
vide
Challan No. / D.D.
No ..
Dated: ..
is enclosed.
14. Tamil Nadu Labour Welfare Fund :
Whether contribution to the Labour
Welfare Fund for the previous year has
been remitted and, if so, furnish the
details of amount remitted, date of
remittance and mode of remittance (by cheque / cash / challan).
Signature of the Manager. Signature of the Occupier
Name in capital letters. Name in capital letters.
Date :
------------------------------------------------------------------------------------------------------
Note : (1) This form should be completed in ink in block letters or type.
(2) If power is not used at the time of filling of this form, but is introduced later
the fact should be communicated to the Chief Inspector immediately.
(3) If any of the persons named against item 4 as minor, the fact should be
stated.
From India, Kumbakonam
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