FORM VI - Coir Board

FORM VI
The Coir Industry (Registration and Licensing) Rules 1958
(Vide Rule 8)
FORM OF APPLICATION FOR RENEWAL OF A CERTIFICATE OF REISTRATION IN
RESPECT OF AN INDUSTRIAL ESTABLISHMENT
1. Name of Industrial Establishment
2. Address:
a) Head Office
b) Factory
3. Name and address of the owner of the
Industrial Establishment in Temrs of
the Note below:
4. Number and date of the Certificate of
Registration
5. Whether the Certificate of Registration
is enclosed
Station:
No.
Date:
Yes / No.
Date: Signature of the applicant
Note: Owner in relation to any Industrial Establishment means the person who, or the authority
which, has the ultimate control over the affairs of the undertakng, and where the said affairs are
entrusted to a Manager, Managing Director or Managing Agent such Manager, Managing Director
or Managing Agent shall be deemed to be the owner, of the undertaking.
Registration renewed upto
Whether renewal fee remitted Rs. By M.O. / P.O. / Cash

1. Quantity (in quintals)
a) Manufactured during the
previous year (1 st April to 31 st
March)
b) Purchased from other
Establishments in the previous
year (1 st April to 31 st March)
2. Labour Employed
Skilled
Semi-skilled
Unskilled
Total
3. Plants / Equipments now in
existance
a) Matting Looms (in different
width)
ADDITIONAL INFORMATION
Mats Matting
Rugs
and
Carperts
Other
Articles
Men Women Total
Rope
Number Number
k) Sewing Machines
l) Dobby Looms l) Spray Plant
m) Jacquard Looms m) Screw Presses
n) Carpet Looms n) Rolling Machines
o) Mat Looms o) Stretching Machines
p) Any other types of Loom p) Steam Plant for Dyeing
q) Dutch Mat Frames
q) Direct heating plant for
Dyeing
r) Beaming Machines r) Rope Making Machines
s) Shearing Machines
t) Braiding Machines
s) Any other types of plants /
Equipments
Date: Signature of applicant