The Uttar Pradesh Occupational Safety, Health and Working Conditions Rules, 2026
Form 36
Official text
Open in the official PDF (p. 519)
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{See sub-rule (1) of Rule 107 and sub-rule (3) of Rule 111}
Licence
Registration No.........
Licence No: ……………….
Fee paid: Rs. ………………
Licence is hereby granted to ..................... valid only for the premises described below for use as
an industrial premises employing not more than ....... employees on any one day during the year subject to
the conditions specified in Annexure.
The licence shall remain in force till the 31st day of March.....
Name of industrial premises........
Situation of the industrial premises......
Permission is also granted for the installation of power-driven machinery....
Date......
Signature and Seal of the Authority
Renewal
[See Rule 4]
Date of renewal Fees paid for renewal Date of expiry
1.
2.
3.
4.
Date......
Signature and seal of the Authority