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Today´s Date : 09/06/2026
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Factory Registration :-
Provide Permission No. and Date.
Permission No.
Permission Date
Proceed
Form 2
Application for Registration of factory
Application Form
Fields marked with
*
are mandatory.
Factory Details
1. Name of the Factory
*
:
2. Address of the Factory
*
:
a. District
*
Select District
b. Tehsil
*
Select Tehsil
c. City/Village
*
Select Village
d. Survey No.
*
e. Postal Code
*
f. Nearest Police Station
*
Select Police Station
g. Nearest Steamer Ghat
*
Select Steamer Ghat
3. Address for Communication
*
:
4. Mobile No.
*
:
5. Email id:
Manufacturing Detail
1. Nature of manufacturing Process/ Processes
*
:
a. Carried on in factory during last twelve months
(In case of factories already in existence)
*
B. To be carried on in the factory during next twelve months
(In case of all factories)
*
2 A. Name of Principal Product manufactured during last 12 months
*
:
B. Value of Principal Product manufactured during last 12 months
*
:
3. No. of workers
*
:
a. Proposed to be employed on any day during the year
(In case of factories already in existence)
*
M:
F:
b. Maximum No. employed on any day during the last 12 months
(In case of factories already in existence)
*
M:
F:
c. No.to be ordinarily employed in the factory
(In case of factories already in existence)
*
M:
F:
4 a. Total amount of HP Installed
*
:
b. Maximum amount of HP proposed to be used
*
:
5 a. Name of the Manager
*
:
5 b. Residential Address of Manager
*
:
6 a. Name of the Occupier
*
:
b. Residential Address of Occupier
*
:
7 a. Name of the Owner of premises
*
:
b. Address of the owner of premises
*
:
8. Whether trade waste or effluents generated
*
:
Yes
No
Approval No.
*
:
Approval Date
*
:
Approving Authority
*
:
DECLARATION
This is to certify that the information furnished is true and correct to the best of my knowledge and belief. I also affirm that in case, I have provided wrong information, I am liable for action by Competent Authority.
Submit
