Prescribed under Rule 12

Notice of Change of Manger / Occupier

This Form is to be sent to the Inspector of Factories within 7 days of the change:

1. Full Name and Address of the Factory

2. Licence Number

3. Full Postal Address for communications
relating to the factory.

4. Whether change relates to Manager or Occupier

5. Name of outgoing Manager/Occupier

6. Full Name and residential address of new

7. Date of appointment of new Manager/Occupier



Date                                     Signature of Manager                             Signature of Occupier

In case of any change in the Partners or Directors, a list of names of Directors/Partners with their residential address shall be attached to this notice.