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CONTACT PERSON & Tel. No.
BUREAU OF NDAN 8TANDARD8
Product Certification Scheme
APPLICATION FOR LICENCE TO USE THE STANDARD MARK
MANAGEMENT
FACTORY
Name Designation Name
Technical Management
OFFICE
Address
Form I
[See Regulation 3]
Address
Full name of individual or firm
Top Management
Designation
SCALE SECTOR
Value (Rs)
PRODUCT
This application is being made to use the BIS Standard Mark on:
Important: 1. Application should be signed by CEO of the firm, or in his absence by authorised representative
2. Applications from Foreign Manufacturers should be countersigned by Authorised Indian Representative
3. Please inform whether you are holdig BIS licence(s) for any product(s).
Name
Designation
Date of application
Signature
PRESENT
INSTALLED
CAPACITY
(Production per annum)
Units of Production Quantity
SEAL OF FIRM
DETAILS OF PREVIOUS
CANCELLATION / CONVICTIONS
IF ANY UNDER BIS ACT
GRADE / TYPE/
CLASS
CORRESPONDENCE ADDRESS
INDIAN STANDARD
IS:
Part:
Sec:
Office
Factory
Large
Small
Public
Private

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