Department of Labour and Employment FORM - 3 (Prescribed under Rule 4 (4)) Register of Factories 1. Registration Number : 2. Date of receipt of application by the : Chief Inspector of Factories 3. Number and date of previous license : if already registered 4. Name of the occupier and his full address : 5. Name of the factory : 6. Situation of the factory : 7. Total number of horse power installed : 8. Fee paid : 9. Name of treasury and number of chalan : 10.Number and date of license issued : 11. Initials of the officer : 12. Reasons and date of cancellation of : license 13. Initials of officer : 14. Remarks, if any :
