FORM 1
[See regulation 3]

APPLICATION for LICENCE
to use the STANDARD MARKunder the
BUREAU OF INDIAN STANDARDS ACT, 1986


THE DIRECTOR GENERAL
BUREAU OF INDIAN STANDARDS
MANAK BHAVAN
9 BAHADUR SHAH ZAFAR MARG
NEW DELHI 110002

1. *I/We, carrying on business at ______________________________________________________________________
______________________________________________________________________
(full business address) under the style of _______________________________________
(full name of individual or firm) hereby apply for a licence under the BUREAU OF INDIAN STANDARDS ACT, 1986, to use the Standard Mark in respect of the article/process which conforms to the Indian Standard listed below:

a) **Article____________________________________________________________________________________

Type(s) ________________________________________________________________________________

Size(s) ________________________________________________________________________________

Grade(s) ________________________________________________________________________________

Related Indian Standard ________________________________________________________________________

b)**Process ________________________________________________________________________________

Related Indian Standard

IS: ___________________
Title ________________________________________________________________

IS: ___________________
Title ________________________________________________________________

2. The above article is/manufactured by _______________________________________ _______________________________________________________ process is carried out

__________________________________________________________________________________________Name of factory on the premises situated at __________________________________________________________________________

____________________________________________________________________(address)

*Strike out one not applicable.
**Only one of the two items under (a), (b) may be covered by one application; strike out the other.

3.a) The composition of the top Management of my/our firm is as follows:

Sl No. Name Designation
1.
2.
3.
4.
5.

b) I/We undertake to intimate to the Bureau any change in the above composition as soon as it takes place.

4. I/We hereby enclose an attested copy/photo copy of the Certificate of incorporation issued by the Registrar of Firms or Societies/Director of Industries (In case of Small Scale Units) Or similar other documents authenticating the name of the firm and its manufacturing premises.

5. a) My/Our factory is equipped with the machines, tools, etc, as mentioned in the enclosed list.

b) I/We have testing arrangements as per enclosed list and as per IS:___________________

OR

The following testing arrangements as per IS:______________ are still to be made:

c) Details of Technical Personnel employed:

Sl No. Name _____ Qualification Job
1.
2.
3.
4.
5.

6. a) The Trade-Mark(s)/Brand Name(s) used by us are as follows:

________________________________________________________________________________

________________________________________________________________________________

b) I/We intend to apply Standard Mark on the following Trade-Mark(s)/Brand Name(s):

________________________________________________________________________________

________________________________________________________________________________

c) Registration No. and Date of the Trade-Mark(s)/Brand Name(s) proposed to be covered under Standard Mark :

________________________________________________________________________________

________________________________________________________________________________

OR

In case of non-registration, I/We enclose documentary evidence in form of publicity/packing material, etc in support of the Trade-Mark(s)/Brand Name(s)

7. Production figures of the said article/process and the value thereof to the best of my/our knowledge and estimates are as follows:

___________________________________________________________________________
Year Production Unit Value Rs
_________________________________________________________________________________

Last Year from ___________________

to _______________________________

Current year from ________________

to _____________________(estimate)

________________________________________________________________________________

8. In order to ensure conformity of the said article/process to the related Indian Standard

* I/We have in use/propose to use the Scheme of Inspection and Testing described in the Statement attached hereto. Routine records of all the inspections and tests are being/will be kept in the form detailed in the statement. I/We further undertake to modify, amend or alter my/our Scheme of Inspection and Testing to bring it in line with that which may be specified by you from time to time.

* I/We have at present no Scheme of Inspection and Testing in operation. I/We, however, undertake to put in operation any such scheme as recommended by the Bureau.

9. I/We agree to pay the marking fee as prescribed by the Bureau and that agree to by me/us; applicable from the date of the grant of the licence.

10. Should any initial enquiry be made by the Bureau, I/We agree to extend to the Bureau all reasonable facilities at my/our command and I/We also agree to pay all expenses of the said enquiry, including charges for testing, as and when required by the Bureau.

I/We request that the preliminary inspection of my/our factory may be carried out by __________________ (indicate date)

OR

I/we shall intimate the time, date, etc, suitable for carrying out the preliminary inspection as soon as production of the article applied for is undertaken and I/We are ready for drawal of samples.

11. a) Certified that earlier I/We had applied and the application No. was _______________. It did not mature into a licence because of ____________________________________________

b) Certified that earlier I/We held CM/L No. ____________________ which was lapsed/cancelled because of ____________________________________ vide letter No. ______________________ dated ________________ from Bureau.

*c) I/We have not been convicted under the Bureau of Indian Standard Act, 1986 in any court of law and neither any prosecution is pending.

OR

The details of convictions/prosecutions pending under the said Act are as under:

_________________________________________________________________________________

_________________________________________________________________________________

d) I/We have never been warned/advised by the Bureau of Indian Standards for any of our actions violative of the Bureau of Indian Standards Act.

OR

The details of warning/advice received by me/us for violating the Bureau of Indian Standards Act are as under:

_________________________________________________________________________________

_________________________________________________________________________________

12. I/We undertake that should any of the information supplied above in the application form is found to be wrong, the application may be rejected forthwith.

13. Should the licence be granted and as long as it will remain operative, I/We hereby undertake to abide by all the terms and conditions of the licence and the regulations prescribed under the aforesaid Act. In the event of the licence being suspended or cancelled, I/We also undertake to cease with immediate effect to use the Standard Mark on any article covered by the licence and to withdraw all relevant advertising matters and to take such other steps as may be necessary to fulfill the provisions of the aforesaid regulations.

Dated this _____________________________ day of
__________________ two thousand ______________________

Signature ______________________

Name ______________________

Designation ______________________

For and on behalf of ______________________
______________________
(Name of the firm)

SEAL OF FIRM


*Inserted vide G.S.R. No. 524(E) Dated 9th August 1991.