Notice of Change of Manager

Form No. 3 - Prescribed under rule 12A
Notice
To

The Inspector ……………………..

1. Name of factory with current licence number.

2. Postal address.

3. Name of outgoing Manger.

4. Name of new Manager with postal address of his residence and telephone number, if installed and parentage.

5. Date of appointment of new Manager
Signature of the Occupier
Signature of 
new Manager

Date …………………..
Place …………………..

*