Department of Labour Government of Tamil Nadu FORM LR-2 Application for renewal of Licence as Repairers in Weights and Measures under the Standards of Weights and Measures (Enforcement) Act, 1985 Sl. No. To be filled by the applicants Comments of the Inspection Officer 1 2 3 1 Name and complete address of the repairing concern / person seeking renewal of the licence : 2 Repairers Licence Number : 3 Name(s) and address(es) along with their fathers/husbands name of proprietors and/or partners and / Managing Directors in the case of Limited Company. : 4 Registration Number and date of current shop / Establishment / Municipal Trade Licence. : 5 Registration Number of Sales Tax / Professional Tax / Income Tax. : 6 a) The type of Weights and Measures repaired as per licence granted. b) Do you propose any change? : 7 Details of repair works done in the last 5 years : 8 Area in which you are operating : 9 Have you sufficient stock of loan / test weights etc? : 10 Please give details with particulars of Stamping : 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, 1989 and agree to abide by the same and also the administrative orders and instructions issued or to be issued thereunder. I/We have deposited the scheduled licence fees of Rs. (Rupees ) to the Sub-Treasury / Bank on and the original chalan is enclosed. All the information furnished above are true to the best of my / our knowledge. Place: Signature and Designation Date:
