[FORM No.2] Application for registration and grant or renewal of license for the year a notice of occupation specified in Section 6 and 7 (To be submitted in triplicate) 1. Full name of the factory with factory license number if already registered from before. 2. (a) Full postal address and situation of the factory. (b) Full address to which communication relating to be factory should be sent. 3. Nature of manufacturing Process/Processes (a) Carried on in the factory during the last twelve months ( in the case of factories already in existence). (b) to be carried on in the factory during the next twelve months ( in the case of all factories). 4. Names and values of principal products manufactured during the last 12 months. 5. (i) Maximum Number of workers proposed to be enjoyed on any one day during the year. (ii) Maximum Number of workers employed on any one day during the year. (iii) Maximum Number of workers to be ordinarily employed in the factory. 6. (i) Nature and total Amount of power (H.P.) installed, or proposed to be installed. (ii) Maximum amount of Power (H.P.) proposed to be used. Page 97 of 151 7. Full name and residential address and Father's Name of the person who shall be the manager of the factory for the purposes of this Act. 8. Full name and residential address and Father's Name of the occupier. (i) The Proprietor of the factory in case of Private firm/Proprietary concern. (ia) Partners in case of a partner ship firm/concern.] (ii) Directors in case of a public limited liability company/firm. (iii) Where a managing Agent has been appointed the name of managing Agents and Directors there of. (iv) Share holders in case of a private company, where no managing agents have been appointed. (v) The Chief Administrative Head in case of a Government or Local fund factory. 9. Full name and address of the Owners of the premises or building (including the precincts thereof) preferred to in Section 93. 10. In the case of a factory constructed or extended after the date of the commencement of the Rules : (a) Reference number and date of approval of the plans for site whether for old or new building and for construction or extension of factory by the State Government/Chief Inspector. (b) Reference number and date of approval of Page 98 of 151 the arrangements, if any made for the disposal of trade waste and effluents and the name and the authority granting such approval. 11. Amount of fee Rs._____________(Rupees_______________) (i) Paid in _____________ Treasury on ____________vide Challan No.______ (ii) Transmitted by crossed Cheque/ Postal Order No.__________ dated _________on the /of the __________Bank/Post office drawn in favour of Chief inspector of Factories. Signature of Occupier__________________ Date______________ Signature of Manager___________________ Date______________ Notes-(1) this form should be completed in ink in block letters or typed. (2) If power is not used at the time of filling up this form, but is introduced later, the fact should be communicated to the chief Inspector immediately. (3) If any of the persons named against item 8 is minor the fact should be clearly stated. (4) In the case of a Factory, where under the provision to Sub Sections (1) and (2) of Section 100, a person has been nominated as the occupier, information required in item 8 should be supplied only in respect of that person. (5) In the case of a Factory, where a Managing Agents have been appointed as occupier under the Indian Companies Act, 1913 (VII of 1913), information required in item 8 should be supplied only in respect of that person or persons. Page 99 of 151
