Labour And Employment FORM - 4 (Prescribed under Rule 12) Registration and license to work a factory License No. FA Fee: Rs._______ Registration No. License is hereby granted to ________________________________ valid only for the premises detailed below for the use as factory employing not more than ___________ person on any one day during the year and installed motive power not exceeding _________ H.P. Subject to the provisions of the Factories Act, 1948 and the rules made hereunder. The license shall remain in force till the 31st of day of December 200 . Description of the Premises Name of the Factory ________________________________ ________________________________ The licensed premises shown on Plan No. _________ dated ____________ are situated in _______________ district and consist of _________________________________________. The 200 Chief Inspectors of Factories Renewals SL No Date of renewal Fee for renewal Rs Date of Expiry Signature of C.I.F 1. 2. 3. 4. Amendment and transfer Amended to SL. No Name of the person to whom transferred Installed the factory Employed HP Max. No of workers Additional Fee Rs. Signature of C.I.F 1. 2. 3.
