Department of Labour Government of Tamil Nadu FORM LD-2 Application for renewal of the licence as Dealers in Weights, Measures under the Standards of Weights and Measures (Enforcement) Act, 1985 Sl. No. To be filled by the applicants. Comments of the Inspection Officer. 1 2 3 1 Name of the establishment / shop / person seeking the renewal of licence : 2 Dealer's Licence Number : 3 Date of Establishment : 4 Name(s) and address (es) along with father's / husband's name of proprietor(s) and / or Partners and Managing Director(s) in the case of Limited Company. : 5 Registration Number and date of Shop / Establishment / Current Municipal Trade Licence. : 6 Categories of Weights and Measures sold at present. : 7 Registration Number of CST / Sales Tax / Professional Tax / Income Tax : 8 Details of sales done in the last 5 years. : 9 Are you intending to import Weights and Measures etc., from places outside the state / Country? If so, Indicate source of supply from the State(s) / Country (Give details of Manufacture's trade mark / monogram and his licence number) : To be certified by the applicants Certified that I / We have read the Standards of Weights and Measures (Enforcement) Act, 1985 and the Tamil Nadu Standards of Weights and Measures (Enforcement) Rules, 1989, and agree to abide by the same and the Rules the administrative orders and instructions issued or to be issued there under. I/We have deposited the scheduled licence fees of Rs. (Rupees only) in the Sub-Treasury / Bank on and the original chalan is enclosed. All the information furnished above are true to the best of my / our knowledge. Place : Date: Signature and Designation.
