Department of Labour Government of Tamil Nadu FORM LR-1 Application from for licence as Repairers of Weights and 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 repairing concern seeking the licence. : 2 Complete address of the workshop : 3 a) Whether premises are owned / rented / taken on lease / lease licence, duly supported by documents. b) Date of establishment of workshop / factory. : 4 Name(s) and Address (es) along with their father's / husband's name of Proprietor(s) and / or Partners and / Managing Director(s) in the case of Limited company. : 5 Number and date of Shop / Establishment / Current Municipal Trade Licence. : 6 Professional Tax / I.T. Tax Registration No. : 7 The type of Weights and Measures proposed to be repaired : 8 Area in which you wish to operate. : 9 Previous experience in the line : 10 Number of skilled staff employed or proposed to be employed a) Skilled. b) Semi-skilled c) Un-skilled d) Employees trained in the line : 11 Details of Machinery / Tools / accessories available. : 12 Availability of electric energy. : 13 Have you sufficient stock of loan / test weights etc.? Give details. : 14 Have you applied previously for a Repairer's Licence. If so, when and with what results? : To be certified by the applicant Certified that I/We have read the Standards of Weights and Measures Act, 1976, 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 also the administrative orders and instructions issued or to be issued there under. I/We agree to deposit the Scheduled Licence fees with Government as soon as required to do so by the Licensing Authority. All the information furnished above are true to the best of my / our knowledge. Date: Signature and Designation.
