QSDVht ,DV esa iath;u@ykblsal dk vkosnu&izi=

rhu izfr;ksa esa

FORM NO. 4
(Rule 14)
Notice of occupation for registration and grant or renewal of licence. Written
Notice Prescribed under section 6 & 7 (1) of The Factories Act 1948.
1.

Full Name of the Factory and its Licence Number if

already registered.
2. (a) Postal address and situation of the factory
including polic station, tehsil and district.
(b) Address to which communications relating to
the Factory should be sent.
3. Nature of manufacturing process/processes :
(a) Carried on in the factory during the last
twelve months (In the case of Factories
already in existence).
(b) To be carried on the factory during the next
twelve months (in case of all factories).
4. Names and value of principal products
manufactured during the last twelve months.
5. (a) Maximum number of workers proposed to be
employed on any one day during the year.
(b) Maximum number of workers employed in
any one day during the last twelve months.
(c) Number of workers to be employed in the
factory.
6. (a) Nature and total amount of power (H.P.)
installed or proposed to be used.
(b) Maximum amount of power (H.P.) proposed
to be used.
Note :If power is not proposed to be used originally
but is introduced later the fact should be
immediately communicated to the chief
inspector of factories
7. In the case of a factory constructed or extended
after the date or commencement of the rules.
(a) Reference number and date of approval of the
plans of site whether for old or new building
and for construction or extension of factory
by the State Government/Chief Inspector.
(b) Reference number and date of approval of the
arrangement if any made for the disposal of
trade waste an efiluents and the name of the
authority granting such approval.
8. Full name father's name and residential address of
:(i) The person who shall be Manager of the
factory for the purposes of the act.
(ii) The occupier of the factory.

(a)

The proprietor of the factory if it is a private

firm or proprietory concern.
(b) The Director of Factory it is private company
or firm.
(c) Where Managing Agents have been appointed
the name of Managing Agents and their
Directors.
(d) Share-holder in case of a private company
where no Managing Agents have been
appointed.
(e) The Chief Administrative Head of the factory
if it is owned by Government or a public
authority.
9. It the factory covered by the provisions of section
93 of the Factories Act (Act : LXIII of 1948) Full
Name, Father's Name and Address of the premises
or buildings in which the factory is situated.
10. Date on which the Manager assumed charge.
11. Date on which the occupier occupied the premises
or occupy premises.
12. Amount of fee Rs. Rs.___________
Paid in _________ Treasury on_________
Vide Challan_______(enclosed)
Full Signature of Occupier
______________________ Full Signature of Manager_______________
Full Signature of owner if any_____________________ Date _________
Notes :- (1)
(2)
(3)

This form should be completed in Block Letter typed.

If any of the person name against item under (8) is minor the fact should
be clearly stated.
In the case of a factory, where managing agent or agent have been
apppointed as occupiers under the factories Companies Act. 1913 (VII
of 1993) Information required in them 8 should be supplied in respect of
that person or persons.

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izLrko ikfjr dj dkj[kkuk vf/kfu;e] 1948

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