Form 48

{See sub-rule (2) of rule 123}

Notice of change in Manager

1. Name of factory with current licence number .................................

2. Postal address of the factory.................................................

3. Name of outgoing manager..................................................

4. Name of the new manager with his postal residential address and telephone number, if

any............................................................

5. Date from which new manager took over charge..............................

Date........................... Signature of new Manager...................................

Place.......................... Signature of Occupier..........................