State of Uttar Pradesh - Act
The U.P. Godam Niyamavali, 1972
UTTAR PRADESH
India
India
The U.P. Godam Niyamavali, 1972
Rule THE-U-P-GODAM-NIYAMAVALI-1972 of 1972
- Published on 20 May 1972
- Commenced on 20 May 1972
- [This is the version of this document from 20 May 1972.]
- [Note: The original publication document is not available and this content could not be verified.]
Chapter I
Preliminary
1. Short title and commencement.
- (i) These rules may be called the Uttar Pradesh Godam Niyamavali, 1972.2. Definitions.
- In these rules, unless there is anything repugnant in the subject or context:3. Licensing Authority.
- The Registrar shall be the Licensing Authority for the purposes of the Act and these rules.Chapter II
Licences
4. Application for licence.
- (i) Application for grant of a licence under Section 4 or for its renewal under Section 6 shall be made in Form No. 1 and application for issue of a duplicate licence under Section 10 in Form No. 2. The application shall be signed by the applicant and he shall be bound to supply such additional information as may be required by the Licensing Authority.5. Scale of fee for grant and renewal of licence.
| (a) | for the grant or renewal of licence for each Warehouse at thefollowing quarterly rates, for carrying on the business of aWarehouseman : | |
| Rs. | ||
| (i) | Warehouse having a capacity up to 25,000 cubic feet, | 12.50 |
| (ii) | for every additional storage capacity of cubic feet or partthereof. | 12.50 |
| (b) | for the issue of a duplicate licence under Section 10. | 5.00 |
6. Terms and conditions for grant of licence.
- A licence granted under Section 4 or renewed under Section 6 shall be issued in Form No. 3, subject to the following conditions-7. Period of licence.
- A licence shall be granted upto the end of the year and shall be renewed for one year at a time.8. Security.
- Every Warehouseman shall, at the time of application for licence, furnish to the Licensing Authority a security deposit in cash or in Government Securities assessed at Rs. 5 per 100 cubic feet storage capacity or part thereof, subject to a minimum of Rs. 1,000 and execute a bond in Form No. 4 for the observance of the conditions and obligations arising out of his business as Warehouseman.9. Issue of duplicate licences.
- A duplicate licence shall be granted on payment of the fee prescribed in Rule 4 and after getting an indemnity bond executed by the applicant indemnifying Government against any loss or damage which may be caused by anyone using the licence lost by the applicant and shall bear on its face the number and date of the original licence in lieu of which it issued and shall be stamped "duplicate".10. Publication of the grant, suspension or revocation of licences and list of Warehouses.
- The names and location of Warehouses licensed under the Act as on the 1st day of April every year, shall be published in the Gazette as early as possible thereafter. Subsequent grant suspension, revocation or restoration of the licences shall also be published in the Gazette from time to time.Chapter III
Deposit and Maintenance of Goods
11. Application for deposits and delivery of goods to Warehouseman.
- An application for deposit of goods shall be made to a Warehouseman in Form No. 5 and an application for delivery of goods shall be made in Form No. 6.12. Receipts.
- A receipt issued under Section 30 shall be in Form No. 7 and shall specify therein : (i) the period for which the goods are likely to remain in deposit, (ii) particulars showing the ownership of, and liens, mortgages or other encumbrances on the goods covered by receipts be as declared by the depositor in application for deposit under Rule 11, (iii) the grade, class or quality and description of goods, and (iv) the location of warehouse where the goods are stored. Both the warehouse and the depositor shall be bound by the conditions of storage as detailed in Form No. 7.13. Information regarding person authorised to sign receipts.
- Every Warehouseman shall send to the Licensing Authority the names and addresses with specimen signatures of the persons authorised to sign on behalf of the Warehouseman. In case of any change regarding persons so authorised, information shall be given immediately to the Licensing Authority alongwith names, addresses and signatures of the newly authorised persons. Such information shall be sent under registered cover.14. Non-negotiable receipts.
- Every Warehouseman who issues a "non-negotiable receipt" shall mark or cause to be marked upon it the words "Non-negotiable".15. Issue of duplicate receipts.
16. Transferee or endorsee to supply information.
- Every transferee or endorsee of a receipt shall inform the Warehouseman concerned about the endorsement, transfer, mortgage or encumbrance, as the case may be, within a week of such endorsement or transfer, and he shall also deposit, within the same period, his specimen signature duly attested by his endorser or transfer with the Warehouseman.17. Service charges to be made by Warehouseman.
- No Warehouseman shall levy or recover charges for his services in excess of the schedule of charges, filed by him alongwith his application for licence and approved by the Licensing Authority from time to time. The schedule charges shall be displayed conspicuously by every Warehouseman as his principal place of business where receipts are delivered to the depositors. A provision shall be made by every Warehouseman for allowing a concession of ten per cent or such percentage as may from time to time be revised by the State Warehousing Corporation to Co-operative Societies in schedule of charges.18. Maintenance of Warehouse.
- Every Warehouseman shall keep his warehouse in accordance with the conditions given below-19. Number of insuring goods.
20. Classification of goods.
21. Notice of loss of, or damage to, goods.
22. Partial delivery of goods.
- If a Warehouseman delivers part of the goods for which receipt has been issued, he shall be bound to indicate clearly upon such receipt a statement of the goods or packages which have been so delivered. In case of failure to make such statement, the Warehouseman shall be liable to deliver all the goods specified in the receipt to anyone who purchases the receipt in good faith and for valuable consideration, whether the purchaser acquired title to the receipt before or after the delivery of any portion of the goods.23. Maintenance of books, records, etc.
- Every Warehouseman shall maintain records, and account books in respect of his business and shall, for this purpose , use forms, if any, enjoined by the Licensing Authority. He shall, in particular, maintain :24. Manner in which perishable or deteriorating goods are to be dealt with.
- (i) Where goods are of perishable nature or will deteriorate greatly in value or damage other property, the warehouseman may serve a notice within such period as may be fixed by the Lincensing Authority, and in case no such period is fixed by it, then within such period as is reasonable under the circumstances calling upon the holder of the receipt for the goods, but if his name and address is not known to the warehouseman then upon the original depositor, to satisfy the lien upon the goods and to remove them from the warehouse. If such person fails to satisfy the lien and remove the goods within the period aforesaid, the warehouseman may sell the goods by public sale at the risk and cost of the depositor. The information regarding the date, time, place and other necessary particulars of the auction shall be duly published by beat of drum and in a local paper, besides being exhibited on the notice board of the warehouse at least three days before the auction. Notice shall be given by the warehouseman to the depositor and holder of receipt, if any, the Licensing Authority and the Collector at least forty-eight hours before such sale.25. Accounting of proceeds of auction sale.
- Every warehouseman shall be bound to render to the depositor or the holder of the receipt, correct accounts and tender him the payment of the sale-proceeds after deducting all charges legally due to him including all reasonable charges for the removal of the goods and its public auction within a period not exceeding fifteen days from the date of such auction or surrender of the receipt by the depositor or the holder of the receipt whichever is later, duly discharged and on payment of all charges due to the warehouseman.26. Removal or transfer of goods by warehouseman.
- No warehouseman shall remove any goods stored in his warehouse or transfer them to another warehouse without first obtaining the receipt in respect thereof, cancelling the same and issuing a new receipt:Provided that the warehouseman may transfer the goods from one godown to another of the same warehouse.Chapter IV
Weighers, Samplers and Classifiers
27. Applications for licence by weighers, samplers and classifiers.
28. Period of licences granted to weigher, sampler and classifier.
- A licence issued to a weigher, sampler or classifier shall remain in force from the date on which it is granted till the 31st December following and shall be removed for one year at a time.29. Certificates to be issued by weighers, samplers and classifiers.
- The certificate to be issued by weighers, samplers or classifiers shall be in Form No. 13.30. Renewal of licence of weighers, samplers and classifiers.
- Every application for renewal of a licence issued to weighers, samplers and classifiers shall be made at least one month prior to the expiration of the period of the licence and shall be accompanied by a fee of Rs. 5. The conditions for renewal of a licence shall be the same as prescribed for the issue of a new licence.31. Issue of duplicate licences to weighers, samplers and classifiers.
- If the original licence is lost or destroyed, a duplicate thereof shall be issued on payment of a fee of Rs. 2 and on the execution of an indemnity bond by the applicant indemnifying the Government against any loss or damage which may be caused by any one using the original licence. Such duplicate licence shall be stamped as "Duplicate".Chapter V
Appointment of Board of Arbitrators
32. Appointment of Board of Arbitrators.
- Appointment of Board of Arbitrators under Section 29 shall be made in the following manner :On receipt of written complaint against a weigher, sampler, classifier or warehouseman relating to quality, weight or grade of goods stored or to be stored in a warehouse, the Licensing Authority shall require both the parties to the dispute to appoint their nominees, one each, on the Board of Arbitrators within fifteen days from the date of the notice. In case either party fails to do so within the period of notice, the Licensing Authority shall nominate an Arbitrator on his behalf. When the arbitrators of both the parties have been appointed either by the parties or by the Licensing Authority, the Licensing Authority shall also nominate a third Arbitrator to act as Chairman of the Board of Arbitrators. In case of difference, the opinion of the majority shall prevail.33. Procedure to be followed in the proceedings before the Board of Arbitrators and mode of executing awards.
Chapter VI
Miscellaneous
34. Return of licence.
- When a licence granted to a weigher, sampler or classifier under the Act expires or is removed, cancelled or suspended, it shall be returned to the Licensing Authority within seven days of such expiration, revocation, cancellation or suspension.35. Procedure regarding the forfeiture of security money.
- When a warehouseman, weigher, sampler or classifier contravenes any of the provisions of the Act or these rules or orders of the Licensing Authority, he shall be served with a notice to show cause as to why his security money should not be forfeited. If he fails to submit a satisfactory explanation within the prescribed time or comply with the orders, the Licensing Authority may order forfeiture of the security money in full or in part.36. Procedure regarding refund of licence fee or security money.
- When any applicant is not granted a licence due to any reason, the Licensing Authority shall on an application made in this behalf to him order refund of the licence fee and security, if any, deposited by him.37. Dissolution of partnership firm holding licence .
- Where a licence is held by a partnership firm and such partnership is dissolved, every partner of the firm shall send a report of dissolution to the Licensing Authority within a week of such dissolution.38. Use of standard weights and measures by warehouseman.
- Every warehouseman shall use only such standard scales, weights and measures and weighing or measuring machines as are laid down in the Standard Weights and Measures Act, 1956 (Act 89 of 1957).39. Supply of reports by warehouseman.
- Every warehouseman shall, from time to time, make such reports as may be required by the Licensing Authority or any officer authorised by him, concerning the condition and contents of the warehouse and operation of his business as warehouseman.40. Hours of business of warehouses.
- Without prejudice to the provisions of the U.P. Dookan Aur Vanijya Adhisthan Adhiniyam, 1962 as amended from time to time, the business shall be transacted in every warehouse for at least 8 hours a day on every working day. The actual hours when business can be transacted shall be conspicuously exhibited at the public entrance of the warehouse and communicated to the Licensing Authority. The changes, if any, will also be communicated well in time, at least-fifteen days before the change.41. Appeal against the orders of the Licensing Authority, refusing, revoking, suspending or cancelling the licences.
- Any person aggrieved by the order of the Licensing Authority refusing to grant or renew a licence or by an order suspending, revoking or cancelling a licence may appeal to the Government within thirty days of the communication of the order.42. Head of account.
- The security money will be taken credit of under the head "I - Deposits and Advances, II - Deposits not bearing interest - (c) Other deposit accounts - (b) Departmental and Judicial Deposits-Civil Deposits - Revenue Deposits", and the receipts on account of fee will be credited under the receipt head "XXVIII - Corporation - Miscellaneous Receipts - (e) Other Receipts".43.
The appeals under Section 34 shall lie to tho State Government or to such authority not below the rank of Assistant Registrar as may be authorised by the State Government on its behalf and shall be preferred within thirty days from the date of the order appealed against.44.
Every warehouseman shall allow during its working hours necessary facilities to a depositor or such person, as may be authorised by him, to inspect and satisfy himself that his goods are properly cared for.FormsForm No. 1[See Rule 4]Applications for grant/renewal of licenceToThe Registrar,Cooperative Societies, Uttar Pradesh, LucknowSir,I/We ............................... son ........................ of ................... residing at .................... P.O. ........................... tehsil ....................... district .......................... request that I/we may be granted a licence as Warehouseman/Licence No. ................................... granted to me/us for the storage of goods during the year ending December 31, 19 ............................... may be renewed for2. I/We agree to abide by the terms and conditions of the licence, to be granted/renewed.
3. I/We attach a treasury receipts for the payment of Rs. ....................... as licence fee in ..................... Treasury Sub-Treasury.
4. I/We agree to abide by the provisions of the Uttar Pradesh Warehouse Act, 1958 (U.P. Act No. III of 1959) as amended from time to time and the rules made thereunder and also to the terms and conditions regarding the maintenance of a warehouse and any other administrative or other orders issued by the Licensing Authority or such other officers as may be authorised by the Government in this behalf.
5. I/We have filed along with this application a schedule of charges that would be recoverable from the depositors of goods stored in the warehouse.
6. I/We enclose herewith a solvency certificate to the extent of Rs. ....................
7. I/We hereby solemnly declare that all information herein given is true to the best of my/our knowledge and that in case it proves to be untrue. I/we undertake to indemnify person or persons concerned in this business against any loss arising out of such false or untrue information.
8. I/We declare that each of the warehouses specified below is suitable for the stores of goods respectively mentioned against it and that it is in good condition.
9. I/We undertake to execute the security bond of the required amount and in the manner prescribed under Rule 7 of the rules made under the Act.
Dated :Signature.Description of premises to be used as a warehouse or warehouses1. Village or town ......................... tehsil ...............................
2. House No. .......................... than a ...........................
| 3. | Description of the warehouse and of the rooms forstorage. | Distinguishing letter or No. or letter and No. ofeach. | Detailed description of each. | Purpose of each. |
4. Area.
5. Storage capacity.
6. Suitability regarding storage of goods for which it is to be used.
7. Quantities and varieties of goods stored in the previous year, if any.
8. Estimated quantity of goods to be stored during the period of licence.
Form No. 2[See Rule 3]Application for issue of duplicate licenceToThe Registrar,Cooperative Societies,Uttar Pradesh,LucknowSir,I/We .............................., son of ............................ residing at .............................Post Office , tehsil ........................... district ......................, request that my/our warehouse licence No. .............. granted on ....................... for the period ending ................ has been lost/ destroyed in the following circumstances :(*)2. I/We, therefore, request you to grant me/us a duplicate licence on the same terms and conditions on which the aforesaid licence was granted.
3. I/We have affixed stamp in payment of the fee of Rs. 5/-.
4. I/We hereby solemnly declare that the information herein given is true to the best of my/our knowledge.
Date :SignatureWitness 1. Signature Name ............................ Address ........................Witness 2. Signature Name ............................ Address ........................(*) Here state the circumstances under which the licence was lost, destroyed or damaged.Form No. 3[See Rule 6]Licence of carrying on the business of a warehousemanLicence No. ........................................ of 19 .....,Licence is hereby granted to .......................... (hereinafter referred to as licensee), on payment of a fee of Rs. ...................... for the conduct of the business of warehouseman in the warehouse situated at ..................... subject to the provisions of the Uttar Pradesh Warehouse Act, 1958 (U.P. Act III of 1959), as amended from time to time and the rules made thereunder and on the following conditions, namely :1. This licence shall be valid upto December 31,19 ......................
2. The licensee shall not carry on the business of warehouseman at any place other than the said warehouse.
3. The licence is not transferable.
4. No correction or alteration in the schedule of charge, shall be valid unless approved by the Licensing Authority.
5. In the event of cancellation, revocation, or suspension of this licence, the licensee shall surrender it to the Licensing Authority along with all the unused warehouse receipts in his possession.
Licensing Authority.PlaceDateRenewal of the licence.Date of renewal, period for which renewalSignature of the Licensing AuthorityForm No. 4[See Rules 8 and 27 (i) (b)]Form of Security BondWhereas I/We ................. resident(s) of .............., P.O. ................... district .................., have applied for grant of licence as Warehouseman Weigher/Sampler/Classifier at ................................. under the Uttar Pradesh Warehouse Act, 1958 (U.P. Act III of 1959), as amended from time to time subject to such conditions as may be laid down by the Licensing Authority.I/We furnish herewith security deposit of Rs. ................. under Treasury Challan No. ......................, dated .................... of the State Bank of India .............................. district ............. or in cash/ gilt edged securities in accordance with the rates prescribed in Rule 7/27 (i) (b) of the Rules made under the Act for the observations of conditions and obligations arising out of my/our business as Warehouseman/Weigher/Sampler/Grader and agreed that the amount of the security deposited by me/us under this bond shall be liable to be forfeited by Government in case of default of any of the conditions of the licence or breach of any of the provisions of the Act or the Rules and that the amount due under this bond shall be recoverable from me/us or my/our heirs or legal representatives as arrears of land revenue.Signature and name of Warehouseman/Weigher/Sampler/Classifier, Designation| Signature of witnesses- | |||
| 1. | Name......................................Designation...........................Address.................................Date...................................... | 2. | Name......................................Designation...........................Address.................................Date...................................... |
| Description of the goods | No. of packages, bags and quantities withdistinguishing mark, if any | Measurement and weight | Market price at.... | Total valuation of goods | Remarks if any |
| 1 | 2 | 3 | 4 | 5 | 6 |
| Place ................... | Warehouseman's Signature |
| Date.................... |
| Description of goods | No. of packages, etc. | Weight and/or measurement | Market price | Special Marks, if any | Remarks |
| 1 | 2 | 3 | 4 | 5 | 6 |
1.
...............................2.
...............................3.
...............................Yours faithfullySignature,Depositor's NameAddressAttested.Signature of the depositor.Received the above noted goods in................................... condition.| Place ................... | Depositor/Agent |
| Date.................... |
| Name and kind of commodity | Class, standard, grade of quality of goods | No. of packages or lots | Net quantity in Qtls./Kgs. by weight or measure |
| 1 | 2 | 3 | 4 |
| Identification marks of depositor on packages | Market rate at the time of depositor | Value of goods in Rs. at the time of deposit | Rate of storing and other charges |
| 5 | 6 | 7 | 8 |
| Date | Quantity released | Balance of quantity due on receipt | Signature of Warehouseman |
| 1 | 2 | 3 | 4 |
1. Tender for storage. - (a) All goods for storage shall be delivered by the depositor at the warehouse properly marked for identification and securely packed in fairly strong bags or containers. In case the Warehouseman considers if necessary to mix the goods, make a 'Dara' standardise and change the packages, he will be entitled to do so and the depositors shall be liable to pay the charges actually incurred on that account. The Warehouseman may at his discretion, refuse to accept goods which are in a condition not likely to stand storage. The Warehouseman shall give his own identity mark on each lot or package.
2. Storage charges. - (a) Storage charge will be levied on a monthly basis and number of days in excess of a months will be charged for on weekly basis. Unless otherwise provided by agreement in writing, where storage is for less than a month the charge will be for the whole month.
3. Manner in which perishable goods or goods are liable to be dealt with. - (i) Where goods are of perishable nature or are liable to deterioration greatly in value during storage or injure other goods, the Warehouseman may serve a notice on the holder of Warehouse receipt of such a period as may be fixed by the Licensing Authority and in case no such period has been fixed, the period of notice shall be such as is reasonable and possible the circumstances. In case the name and address of the holder of Warehouse receipt is not known to the warehouseman, the said notice shall be served on the original depositor requiring him to satisfy the lien on the goods and to remove them within the time prescribed in the notice. On the failure of such person to satisfy the lien and to remove the goods within the time prescribed, the Warehouseman may sell the goods by public auction at the risk and cost of the depositor. The information regarding the date, time, place and other necessary particulars of the auction sale shall be duly published by beat of drum besides being exhibited on the notice board of the Warehouse three days before the auction sale. Information regarding auction sale shall also be given to the depositor, the Licensing Authority and the Collector of the district by the Warehouseman at least forty-eight hours before the actual sale.
4. Delivery of goods. - (a) Instructions for delivery or transfer of goods shall always be in writing and signed by the depositor or by the holder in due course of Warehouse receipt or his authorised agent.
5. Liability. - (a) The Warehouseman undertakes to exercise reasonable care and diligence as required by law for keeping the goods.
6. Schedule of charges and Insurance. - (a) Whenever provision is made in these contract, terms and conditions for a charge or charges by the Warehouseman such charge or charges will not exceed the Warehouseman's tariff in effect at the time the charge accrues or the service is performed.
| Serial | Reference to policies of Insurance |
| Godown No............ | Name of Cos. with whom insured. |
| Situated at............. | Accounts for which insured. |
| Owner's name.............. |
| Date of deposit | Name of person who deposited the goods | Description and quantity of goods received andspecial marks on goods, if any | ||
| No. of units(a) | Weight and/or measurement(b) | Grade or quality standard(c) | ||
| 1 | 2 | 3 | ||
| Goods Receipt No. | Description of goods released or delivered | Delivery Order No. | ||
| No. of units(a) | Weight and/or measurement(b) | Grade or quality standard(c) | ||
| 4 | 5 | 6 | ||
| Balance of Stocks | Market price of goods on the date of deposit | Initials of the godown keeper/Warehouseman forhaving received or delivered the goods | ||
| No. of units (a) | Weight and/or measurement (b) | Grade or quality standard (c) | ||
| 7 | 8 | 9 | ||
| Initials of checking officer with the date ofchecking | Remarks, if Reference any of the to Ledger | Inspecting Officer |
| 10 | 11 | 12 |
| Deposit No.Name of the DepositorAddressof the DepositorNames of operators or transfereesReferenceto specimen signature card | Godown No.Where storedGodown RegistrationNo. | Name of the Co.Particular of; InsuranceNo.of policies | Amount | PeriodDate of expiry |
| Date of deposit | Expenses of stocking of cleaning and charges ofsafe custody | Goods receipt No. | Description of goods received | ||
| No. of package of bags or quantity (special marksof goods, if any)(a) | Weight and/or measurement(b) | Grade or quality Standard(c) | |||
| 1 | 2 | 3 | 4 | ||
| Description of goods released or delivered | Particular of payment made by depositor | |||
| No. of package of bags or quantity | Weight and/or measurement | Grade or quality Standard | Date of payment | Amount |
| (a) | (b) | (c) | (a) | (b) |
| 5 | 6 | |||
| Delivery order No. | Initials of godown keeper/ Warehouseman | Balance of stock | Market price of goods deposited on the date ofdeposit | ||
| No. of packages | Weight or/and measurement | Grade or quality standard | |||
| (a) | (b) | (c) | |||
| 7 | 8 | 9 | 10 | ||
| Name of transferee to whom goods are transferredor by whom they are held as security, for advance, if any | Reference to the instrument or documenttransferring possession | Remarks |
| 11 | 12 | 13 |
| Name of depositor | Warehouse Receipt No. | Value of goods | Amount for which insured | Period for which insured |
| 1 | 2 | 3 | 4 | 5 |
| Name of Insurance company with which insured | Number of Insurance policy | Amount of Insurance charge (s) | Amount of other expenses | Remarks |
| 6 | 7 | 8 | 9 | 10 |
| Serial No. of the receipt | Date of issue of receipt | Name of the depositor | Date of cancellation of receipt | Signature of Warehouseman cancelling the receipt | Remarks |
| 1 | 2 | 3 | 4 | 5 | 6 |
1. I hereby apply under the U.P. Warehouse Act, 1958 (U.P. Act No. III of 1959), as amended from time to time and rules prescribed [thereunder] [Score out what is not wanted.] for a licence to [Weigh/Sample/Classify] [Score out what is not wanted.] and to certify the [Weigh/Sample/Grade] [Score out what is not wanted.] of the [stored or to be stored] [Here enter the names of the goods.] in the following warehouse licensed or for which application for licence has been made under the Act:
| Name of Warehouseman | Name and or licence number of warehouse | Location of warehouse |
2. I agree to comply with and abide by the terms of the Act and the rules so far as the same may relate to me.
3. I have attached a treasury receipt for the payment of the licence fee of Rs. ......................
Questions to be answered by the applicant1. Full name (in Block Letters).
2. Residential address.
3. Date of birth Age Years
4. Present employment.
5. Name and address of present employer.
6. How were you employed during the past five years?
7. Have you even been discharged from employment?
8. Have you ever been licensed to perform service similar to those for which the licence is applied for? If so, give details.
9. Have you ever performed services similar to those for which the licence is applied for? If so, give details.
10. Have you any special qualifications?
11. Are you physically fit to perform the duties of the post for which licence is applied for? Have you any defect of sight or disease of the eye?
12. Names and addresses of three persons who have personal knowledge of your qualifications (two of them must be engaged in commercial concerns handling the products covered by the application).
I declare that the foregoing statements are true to the best of my knowledge and belief.Signature of the applicant.Form No. 13[See Rule 29]Weight/Sample/Grade CertificateSerial Number of the CertificateThis is to certify that the goods deposited by ................... in the warehouse covered by licence No. .................. known as ..................... situated at ....................... were weighed/sampled/graded by me and that their weight/sample/grade is :| Quantity of goods covered by the certificate | Kind of goods covered by the certificate | Weight | Sample | Grade of goods | |
| Weight | Sample | Grade | Identification | ||
| 1 | 2 | 3 | 4 | 5 | 6 |
| Place.............Date.............. | SignatureName and Licence NumberofWeigher/Sampler/Classifier |