SCHEDULED II-A See rule 11(1) FORM-LD-1 Application From for licence as Dealer in Weights, Measures, Weighing Instruments and Measuring Instruments under the Himachal Pradesh Standards of Weights Measures (Enforcement) Rules,2004. To | To be filled in by the applicants | Comments of the Inspecting Officer | 1. Name of the establishment/shop person seeking the licence.. 2 (a) Complete address of the establishment, etc. .. (b) Whether the premises are owned/rented/taken on lease duly supported by the document. 3. Date of establishment .. 4. Name (s) and address (es) alongwith father's/husband's/wife name of proprietor (s) and/or partners and Managing Director in the case of Limited Company .. 5. Number and date of current Municipal Trade Licence. 6. Category of articles sold at present .. 7. Registration Number of CST/ST/Professional Tax/Income Tax. 8. Do you intend to import weights, etc. from places outside the state? If so indicate sources of supply .. (Give details of manufacture's trade mark/monogram and his licence number) 9. Have you ever applied for a dealer's licence either in this State or elsewhere ? If so, give details .. | |
To be certified by the applicant Certified that I/we have read the Standards or Weight & measures Act,1976, the standards of Weights & Measures (Enforcement) Act,1985 and Himachal Pradesh Standards of Weights & Measures (Enforcement) Rules, 2004 and agree to abide by the same and the administrative orders and instructions issued or to be issued thereunder. I/We agree to deposit the scheduled licence fees with government as soon as required to do by the Licensing Authority. All the information furnished above is true to the best of my/our knowledge. Signature and designation. Place........... Date............... To be filled by Departmental Officer of the State Government Date of receipt of application.............................................. Serial number of application................................................ Date of inspection.......................................................... Recommendation of Inspecting Officer:- Signature and designation of Inspecting officer. Place........... Date............... Place orders of Licensing Authority Licence granted/refused: Licence Number: Valid Till: Signature and designation. Place........... Date............... |