FORM VII [See rule 8(I)] Form of application by users for registration of a dangerous machine under Dangerous Machine (Regulation) Act, 1983 :- I/We _________________________________________________son of/ ___________________ Resident of ________________________________________________ (Address) own or have acquired control (as hiree or lessee or otherwise ) of the machine, the particulars, the particulars of which are given below and beg to apply for the registration of the same:- (a) Name and number of the machine (b) Make and Model (c) Date and year of purchase, hire of lese or other transfer in any other mode. The Certificate to the effect that the machine conforms to specified standard is attached. Certified that I/we have been using the machine since prior to the coming into force of the Act and the machine conforms or has been so modified as to conform to the specified standards. 9delete whichever is not applicable). A registration fee of Rs._______________________________(Rupees _________________________________________) per machine has been deposited , vide cash/challan No.____________________dated ______________________and the receipt is enclosed. Date: (Signature of the applicant) Place: Name in capital letters
