FORM No. I-C [Prescribed under Rule 3] To construct, extend or take in to use any building as factory 1. Applicant's name Applicant's calling Applicant's address 2. Full name and postal address of factory 3. Situation of the factory-State District Town or Village Nearest Railway Station or Steamer Ghat 4. Particulars of plant to be installed Signature of Applicant Date........ Note: - this application shall be accompanied by the following documents: (a) A Flow chart of the manufactured process supplemented by a brief description of this process in its various stages. (b) Plans, in duplicate, drawn to scale, showing (i) the site of the factory and immediate surroundings including adjacent buildings and other structures, road, drains, etc, and (ii) the plan elevation and necessary cross Sections, of the various buildings indicating all relevant details relating to natural lighting, ventilation and means of escape in case of fire. The plans also clearly indicate the positions of the plant and machinery, aisles and passage ways and (c) Such other particulars as the Chief Inspector may require. Page 107 of 151