Department of Labour Government of Tamil Nadu SCHEDULE VB (See rule 12(1)) FORM LM-2 Application for Renewal of Licence as Manufactures of Weights, Measures under the Standards of Weights and Measures (Enforcement) Act, 1983 Serial Number To be filled by the Applicants Comments of the Inspection Officer 1 2 3 1 Name and complete address of the manufacturing concern for which renewal of the licence is desired. : 2 Manufactures Licence Number : 3 Name(s) and address (es) along with their father's/husband's name of proprietor(s) and / or partners and / Managing Director(s) in the case of Limited Company. : 4 a) The type of Weights and Measures which are manufactures as per licence granted. b) Do you proposes any change? : 5 The monogram or trade marks used on Weights and Measures manufactured by you. : 6 Details of workshop facilities available : 7 Details of production and sales in the last 5 years : 8 Number and date of Shop / Establishment Registration Number. : 9 Registration Number of Sales Tax / CST / professional Tax / Income Tax. : To be certified by the applicant Certified that I/We have read the Standards of Weights and Measures Act, 1976, the Standards of Weights and Measures (Enforcement) Act, 1985 and the Tamil Nadu Standards of Weights and Measures (Enforcement) Rules, 1981 and agree to abide by the same and also the administration orders and instructions issued or to be issued there under. I/We have deposited the scheduled licence fees of Rs. (Rupees. to the Sub Treasury / Bank on and the original challan is enclosed. All the information furnished above are true to the best of my / our knowledge. Place : Signature and Designation Date:
