| 1. |
Name of the manufacturing concern for whichlicence is desired
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| 2. |
Complete address of the concern. Whetherpremises are owned/ rented / taken on lease/ leave licence, dulysupported by documents
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| 3. |
Date of Establishment of workshop/ factory |
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| 4. |
Name (s) and address (s) along with theirfather's/ husband's name of proprietor (s) and/ or Partners andManaging Director (s) in the case of Limited company
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| 5. |
The date and current registration number offactory/ shop/ establishment/ Municipal Trade licence
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| 6. |
Nature of manufacturing activities at present. |
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| 7. |
The type of weights and measures proposed to bemanufactured viz
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(i) Weights |
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(ii) Measures |
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(iii) Weighing Instruments |
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(iv) Measuring Instruments with details in eachcase.
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| 8. |
The number of persons employed/ proposed to beemployed
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(i) Skilled |
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(ii) Semi-skilled |
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(iii) Unskilled |
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(iv) Specialist trained in the line. |
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| 9. |
The monogram or trade mark intended to beimprinted on weights and measures to be manufactured
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| 10. |
Details of machinery, tools accessories, ownedand used for manufacturing weights measures etc
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| 11. |
Details of foundry/workshop facilities arrangedWhether ownership, long term lease etc
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| 12. |
Facilities of steel casting and hardness testingof Vital parts etc. or other means
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| 13. |
Availability of electric energy |
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| 14. |
Details of loan received from Government orfinancial Institution. If so, give details
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| 15. |
Name of bankers, if any |
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| 16. |
VAT/Sales Tax Registration Number/CST Number/Professional Tax registration Number/IT Number
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| 17. |
Have you applied previously for a manufacturer'slicence? If so, when and with what results?
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| 18. |
(a) Whether the item (s) proposed to bemanufactured will be sold within the State or out side the stateor both
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(b) Details of Model Approval received fromGovernment of India.
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(c) When can you produce for inspection samplesof your products for which licence is desired?
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