Schedule 5 B [See rule 12 (2)] FORM LM-2 To [Application for renewal of licence as Manufacturer of Weights, Measures, Weighing Instruments and Measuring Instruments under the Standards of Weights and Measures (Enforcement) Act, 1985] To 1. Name and complete address of the manufacturing concern for which licence is desired. : 2. Manufacturers Licence No. : 3. Name (s) and address (es) of proprietor (s) and/or partness and Managing Director (s) in the case of Limited Company : 4. (a) The type of articles which are manufactured as per licence granted : (b) Do you propose any change : 5. The monogram or trade marks used on articles manufactured by you : 6. Details of workshop facilities available : 7. Sales Tax Registration No. : To be certified by the applicants Certified that I/We have read the Standards of Weights and Measures (Enforcement) Act, 1985 and the Kerala Standards of Weights and Measures (Enforcement) Rules, 1987 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 No .........................................dated ............................................ is enclosed. All the information furnished above is true to the best of my/our knowledge. Place : Date : Signature and Designation
