Application Form for Initial Verification & Stamping of Weighing and Measuring Instrument

Please ensure you have following enclosures before proceeding to apply

1. EPIC/Aadhar.

2. PAN.

3. Valid Manufacturing Licence.

4. Model Approval Certificate.

5. Valid Dealer/Repairer License.

6. Purchase Invoice.

7. Clear picture showing the sealing provision as prescribed on the Model Approval Certificate.

8. Trading licence from respective ADC in case of Non-Tribal.

9. NOC from District Administration and NHAI / State Government State PWD whichever is applicable if weighbridges installed by the side of the road and petroleum retail outlets.

Application Processing Location

Select Inspector Office to which application is to be submitted *

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Applicant Details

Applicant Name *

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Firm/Company *

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Designation *

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Applicant Address

E-Mail *

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Mobile Number *

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Village/ Town *

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Locality *

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Nearest Landmark

Post Office/ Outpost

Police Station *

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District *

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Pincode *

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Premises Address

Same as Applicant's Address

Yes

Village/Town *

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Locality *

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Nearest Land Mark

Post Office/Outpost

Police Station *

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District *

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Pincode *

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Instrument Details

Instrument Details

Sl. no. *

Instrument type *

Class *

Capacity *

Make *

Model *

Serial No. *

Product

Quantity *

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Product

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Declaration

* I hereby declare that all the particulars furnished in this application are correct to the best of my knowledge. I shall be held responsible for any incorrect information.