FORM NO. 4
Prescribed under Rule 4 (4)

Licence to work a Factory

1. Licence Number

2. Registration Number

3. Full name of Factory

4. Full Address/location of factory

5. Full postal address for communications
relating to the factory

6. Maximum horse power installed regular / standby

7. Maximum number of workers to be employed

8. Full name, father's name, age & residential
address of the occupier and his position in the
company/firm/Government factory / local fund factory

 

Licence is hereby granted to the factory at 3 above for the premises stated at 4 above for use as a factory within the limits stated in 6, and 7 above subject to the provisions of the Factories Act, 1948 and the Rules made thereunder. 

This licence shall be valid until it has been duly cancelled.

 


Date                                                                       Inspector of Factories

ENDORSEMENTS