Form I
[See Regulation 3]
BUREAU OF INDIAN STANDARDS
Product Certification Scheme
APPLICATION FOR LICENCE TO USE THE STANDARD MARK 
Full name of individual or firm  
OFFICE Address              
          Tel    
           
City District State Country PIN Fax    
           
Email    
                     
                     
FACTORY  Address  
          Tel    
           
City District State Country PIN Fax    
           
Email    
                     
MANAGEMENT      
Top Management Technical Management
Name Designation Name Designation
1       1      
2   2    
3   3    
4       4      
   
CONTACT PERSON & Tel. No.    
                     
 
CORRESPONDENCE ADDRESS
  SCALE
 
SECTOR
 
     
 
This application is being made to use the BIS Standard Mark on:
PRODUCT    
 
   
INDIAN STANDARD IS:
Part:
Sec:
GRADE / TYPE/
CLASS
   
                     
                     
PRESENT INSTALLED CAPACITY
(Production per annum)
Units of Production Quantity Value (Rs)  
       
                     
DETAILS OF PREVIOUS CANCELLATION / CONVICTIONS IF ANY UNDER BIS ACT  
SEAL OF FIRM   Signature
Name  
Designation  
Date of application  
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).