पोर्टल पर उपलब्ध सेवाओं के फॉर्म



आवेदन-पत्र
34.18 सुधारक अनुज्ञप्ति के नवीनीकरण के लिये आवेदन
1. Beneficiary Aadhar No.
2. License Required For *
3. Name of the repairing concern/person seeking renewal of the license *
4. Complete address of the repairing concern/person *

Max Length 240 characters

5. Repairer Old License No. *
6. Issued date of license (DD/MM/YYYY) *
7. Old licence valid from (DD/MM/YYYY) *
8. Old licence valid to (DD/MM/YYYY) *
9. Renewal from (DD/MM/YYYY) *
10. Renewal to (DD/MM/YYYY) *
11. Renewal for the number of year(s) *
12. Is this Limited company *
13. Name and address along with their father’s Name/husband’s name of proprietor (s) and / or Partners and Managing Director
अध्यतन करने हेतु विकल्प हटाने हेतु विकल्प सं. क्र. 1. Type 2. Name 3. Father’s/ husband’s name 4. Address
1. Type *
2. Name *
3. Father’s/ husband’s name *
4. Address *
14. Current registration number of shop/ establishment / Municipal Trade licence *
15. Date of shop/ establishment/Municipal Trade licence (DD/MM/YYYY) *
16. Professional Tax Number
17. Income Tax Number
18. GST Number
19. The Type of weights and measures pepaired as per license granted
(i) Weight Details *

Max Length 500 characters

(ii) Measure Details *

Max Length 500 characters

20. Do you propose any change

Max Length 240 characters

21. Area in which you are operating *
22. Have you sufficient stock of loan/test weights etc.
23. Stock Details

Max Length 240 characters

24. Please give details with particulars of stamping

Max Length 240 characters

Registration No. of previously issued license (If any)
25. Bank Details
(i) Bank account Number
(ii) IFSC Code
(iii) Bank name
(iv) Branch name
26. मैं अपने प्रमाण-पत्र को अपने डिजिटल लॉकर में रखने की सहमति प्रदान करता हूँ। (असहमति के लिये अनटिक करें)
(यह सहमति/असहमति आवेदक से पूछ कर आवश्यक रूप से अपडेट की जाय)
Certified that I/ We have read the Legal Metrology Act, 2009 and the Madhya Pradesh Legal Metrology Rules, 2011 and agree to abide by the same and also the administrative orders and instructions issued or to be issued thereunder.
All the information furnished abou=ve is true to the best of my/our knowledge.
आवश्यक दस्तावेज (आवेदक द्वारा स्वप्रमाणित) :

दिनांक :
स्थान :

(हस्ताक्षर)

आवेदक का नाम



Source: https://mpedistrict.gov.in Wednesday, November 06, 2024 11:08 AM