SCHEDULE-VB (See rule 12(2) FORM-LR-2 APPLICATION FOR RENEWAL OF LICENCE AS REPAIRER OF WEIGHTS, MEASURES, WEIGHING INSTRUMENTS AND MEASURING INSTRUMENTS UNDER THE STANDARDS OF WIGHTS AND MEASURES (ENFORCEMENT) ACT, 1985 To S.No 1 2 3 1. Name and complete address of the repairing concern/person seeking the licence : 2 Repairers licence no: 3 Names & addresses of proprietors and/or partners and Managing Directors in the case of Limited Company 4 Number & date of current Municipal Trade Licence 5 (a) The type of articles which are repaired as per licence granted (b) Do you propose any change 6 Area in which you are operating 7 Have you sufficient stock of loan/test weights, etc.? 8 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 (Enforcement) Act, 1985 and Standards of Weights and Measures (Enforcement) Rules, 1986 agree to abide by the same and also the administrative orders and instructions issued or to be issued thereunder. I/We have deposited the schedules licnence fees of Rs ... (Rupees ...) to the Subtreasury/Bank on ..... and the original challan is enclosed. All the information furnished above is true to the best of my/our knowledge. Place: Date: Signature and Designation e -JAN SAMPARK : Information Gateway of Chandigarh Administration Page :1 of 1
