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).