FORM NO.

2
[See rule 4 (2) and 11]
Application for Registration and Grant or Renewal of Licence for the year and Notice of
Occupation specified in Section 7
(To be submitted in Triplicate)
1. Full name of the factory, with factory licence No. If already registered
2. (a) Full postal address and situation of the factory.
(b) Full address to which communication relathing to the factory should be sent.
3. Nature of manufacturing process/ processes.
(a) carried on in the factory during the last twelve months (in case of factories
already in existence)
(b) To be carried on in the factory during the next twelve months (in the case of all
factories)
4. Names and Values of principal product manufactured during the last 12 months.
5. (i) Maximum number of workers proposed to be employed on any one day during
the year.
(ii)
Maximum number of workers employed on any one day during
the last 12 months.
(iii)
Number of workers to be ordinarily employed in the factory.
6. (i) Nature and total amount of power (HP) installed or proposed to be Installed
(ii)
Maximum amount of power (HP) proposed to be used.
7. Full name and residential address of the person who shall be the Manager of the
factory for the purpose of the Act.
8. Full name and residential address of the occupier.
(i) The proprietor of the factory in case of private firm/ proprietary concern.
(ii)
Directors in case of a public limited liability company/ firm.
(iii)
Where a Managing Agent has been appointed the name of
Managing Agents and Directors there of.
(iv)
Shareholders in case of a private company , where no Managing
Agents has been appointed .
(v)
The Chief Administrative Head in case of a Government or
local fund factory.
9. Full name and address of the owner of the premises or building (Including the
precincts there of ) referred to in Section 93.
10. In case of factory constructed or extended after the date of the commencement of the
Andaman & Nicobar Islands Factories Rules, 1951.
(a0 Reference number and date of approval of the arrangements if any, made for
the disposal of trade waste and effluents and the name of the authority granting such
approval,
11. Amount of fee Rs (Rupees ) Paid in

Treasury on .. vide challan No. (enclosed) .

Signature of Manager.
Date.
Signature of Occupier
Date..
Notes:- 1. This form should be completed in ink in black letters or typed.
2. If power is not used at the time of filling up this form but is introduced letter,
the fact should be communicated to the chief inspector immediately.
3. If any of the persons named against item s is minor, the fact should be clearly
stated.
4. In the case of a factory, where under the provisions of sub-section (1) and (2)
of section 100. a person has been nominated as the occupier, Information
required in item 8 should be supplied only in respect of that person.
5. In the case of a factory where a Managing Agent or Agents have been
appointed as occupiers information required in item 8 should be supplied
only in respect of that person or person.

Relevant Rule Provision

Renewal of Licence:(1) The occupier of every factory licensed under rule 4, shall submit to the Chief
Inspector, an application in Form No. 2 in duplicate or the renewal of the licence.
An application for renewal shall be made not less than two on the before the date
on which the licence expires, and shall be accompanied by the original licence.
(2) The same fee shall be changed for the renewal of a licence as for the grant
thereof :
Provided that if the application for renewal is not received within the time
specified in sub- rule
(1) : The licence shall be renewed only on payment of a fee of twenty five
percent in excess of the fee ordinarily payable for the licence:
Provided further that in the case of Government Factory, a contingent bill
signed by the drawing officer shall be deemed to be sufficient proof of the
payment of the amount specified in the bill.
(3) If the application has been made in accordance with this rule the premises shall
be held to be duly licensed until such date as the Chief Inspector renews the
licence.
(4) The Chief Inspector may renew the licence subject to such conditions as he may
consider necessary and which shall be specified in the licence.
(5) Suitable entry shall also be made in the Register fo Factories regarding the
renewal of the licence.
(6) The Chief Inspector of Factories in consultation with Chief Commissioner may
condone the additional fee prescribed in sub rule (2) in case he is satisfied that
the delay in submission of application for renewal of licence was due to any
reason beyond the control of the occupier or manager due to any reason of
similar nature.