Dear All,
Kindly find Form 4 for the registration and renewal of the license of employment.
FORM 4
( Prescribed under Rule 6,7,9 & 10)
Application for registration and grant or renewal of license for the year ... and notice of occupation in Section 6 & 7
(To be submitted in triplicate)
(For renewal / Amendment / Transfer, the original license shall be enclosed)
1. (a) Full name of Factory: .........................................
(b) Factory license number if already registered before: .........................................
2. (a) Full postal address and situation of factory: .........................................
(b) Full postal address to which communications relating to factory should be sent
3. Nature of manufacturing process or processes: .........................................
(a) Carried on in the factory in the last twelve months in the case of factories already in existence); and
(b) to be carried on in the factory during the next twelve months: .........................................
(in the case of all factories);
(c) whether it involves hazardous process as interpreted under Section 2 (cb) give details)
(d) whether it involves any dangerous operation, wholly or partly, as declared under subrule (1) of rule 107 under Section 87 (give details)
(e) whether any chemical substance as specified under the second schedule of the Act is used, handled, stored, or processed there
4. Names, quantities, and values of principal Name Qty. Value manufactures during the last twelve months (in the case of factories already in existence) 1. 2. 3.
5. (a) Maximum number of workers proposed to be employed on any one day during the year
(b) Maximum number of workers employed on any one day during the last twelve months (in the case of factories already in existence).
(c) Number of workers to be ordinarily employed in the factory.
6. Nature and total amount of power kilowatts/HP:
(i) installed; or and
(ii) proposed to be installed in the year.
7. Full name and residential address of the person who shall be the manager of the factory for the purposes of the Act.
8. Full name and residential address of the occupier, i.e.
(a) the partner/proprietor of the factory in the case of a private firm or proprietary concern
(b) the directors, in the case of a company or firm
9. Full name and address of the owner of the premises or building (including the premises or building (including the precincts thereof) referred to in Section 93.
10. Reference number(s) and date of approval/allotment of site whether for old or new building and for construction or extension of factory by the State Govt.
11. Reference number and date of approval of the arrangements if any, made for the disposal of trade waste and effluent and the name authority granting such approval.
12. (a) Reference number(s) and date(s) of approval of plans under rule 3 of M.P. Factories Rules, 1962 by the Chief Inspector of Factories, M.P.
(b) Description of the factory premises approved as above and which consist of
13. (a) Amount of fee paid: .........................................
(b) in Treasury -
(i) Name of treasury: .........................................
(ii) Date of payment; and: .........................................
(iii) Challan number: (Original Challan to be enclosed): .........................................
Signature of Occupier: .........................................
Date: .........................................
Signature of manager: .........................................
Date: .........................................
NOTES:
1. This form should be completed in ink in block letters or typed, and a separate sheet may be attached for detailed information.
2. If power is not used at the time of filling up this form, but is introduced later, the fact should be communicated to the Chief Inspector of Factories immediately.
3. If any of the persons named against item 8 is a minor, the fact should be clearly stated.
I hope it will be helpful for you. Give feedback so that I may start posting such forms and documents useful in HR practices.
Seniors, please add your valuable suggestions.
From India, Indore
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184Kindly find Form 4 for the registration and renewal of the license of employment.
FORM 4
( Prescribed under Rule 6,7,9 & 10)
Application for registration and grant or renewal of license for the year ... and notice of occupation in Section 6 & 7
(To be submitted in triplicate)
(For renewal / Amendment / Transfer, the original license shall be enclosed)
1. (a) Full name of Factory: .........................................
(b) Factory license number if already registered before: .........................................
2. (a) Full postal address and situation of factory: .........................................
(b) Full postal address to which communications relating to factory should be sent
3. Nature of manufacturing process or processes: .........................................
(a) Carried on in the factory in the last twelve months in the case of factories already in existence); and
(b) to be carried on in the factory during the next twelve months: .........................................
(in the case of all factories);
(c) whether it involves hazardous process as interpreted under Section 2 (cb) give details)
(d) whether it involves any dangerous operation, wholly or partly, as declared under subrule (1) of rule 107 under Section 87 (give details)
(e) whether any chemical substance as specified under the second schedule of the Act is used, handled, stored, or processed there
4. Names, quantities, and values of principal Name Qty. Value manufactures during the last twelve months (in the case of factories already in existence) 1. 2. 3.
5. (a) Maximum number of workers proposed to be employed on any one day during the year
(b) Maximum number of workers employed on any one day during the last twelve months (in the case of factories already in existence).
(c) Number of workers to be ordinarily employed in the factory.
6. Nature and total amount of power kilowatts/HP:
(i) installed; or and
(ii) proposed to be installed in the year.
7. Full name and residential address of the person who shall be the manager of the factory for the purposes of the Act.
8. Full name and residential address of the occupier, i.e.
(a) the partner/proprietor of the factory in the case of a private firm or proprietary concern
(b) the directors, in the case of a company or firm
9. Full name and address of the owner of the premises or building (including the premises or building (including the precincts thereof) referred to in Section 93.
10. Reference number(s) and date of approval/allotment of site whether for old or new building and for construction or extension of factory by the State Govt.
11. Reference number and date of approval of the arrangements if any, made for the disposal of trade waste and effluent and the name authority granting such approval.
12. (a) Reference number(s) and date(s) of approval of plans under rule 3 of M.P. Factories Rules, 1962 by the Chief Inspector of Factories, M.P.
(b) Description of the factory premises approved as above and which consist of
13. (a) Amount of fee paid: .........................................
(b) in Treasury -
(i) Name of treasury: .........................................
(ii) Date of payment; and: .........................................
(iii) Challan number: (Original Challan to be enclosed): .........................................
Signature of Occupier: .........................................
Date: .........................................
Signature of manager: .........................................
Date: .........................................
NOTES:
1. This form should be completed in ink in block letters or typed, and a separate sheet may be attached for detailed information.
2. If power is not used at the time of filling up this form, but is introduced later, the fact should be communicated to the Chief Inspector of Factories immediately.
3. If any of the persons named against item 8 is a minor, the fact should be clearly stated.
I hope it will be helpful for you. Give feedback so that I may start posting such forms and documents useful in HR practices.
Seniors, please add your valuable suggestions.
From India, Indore
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