The Tamil Nadu Factories Rules

FORM 1
(Prescribed under Rule 3)

Application for permission to construct, extend or take

into use any building as a factory.

1. Applicant’s/Occupier’s Name
Applicant’s/Occupier’s Calling
Applicant’s/Occupier’s Address

2. Full name and postal Address of factory

3. Situation of the factory and

S. Nos./D. Nos. of the factory
State
District
Town or Village
Nearest Police Station
Nearest Railway Station or Steamer Ghat
4. Purpose for which plans are sent
State whether initial approval/additional installation/additional construction/changes in installation, etc.
5. If the plans have been approved earlier give the number and date of approval of previous plans relevant
to the present plans except in the case of initial approval.
6. Details of present proposals with reference to item No.4.

7. Total installed capacity in Horse Power (including the present plans).

8. Maximum number of workers proposed to be employed in the factory

Note.—Court fee stamp to the value of Re. 1 (one) to be affixed in the first copy only.

Date
Signature of applicant/occupier