Application for License of Establishment

Information of Factory/Establishment Form 77 - Dhara 3ko and 326 and, Bidhi 7(1), 354, 355(3), 356(2) and 357(1)

All the fields, except the mentioned exceptions, should be filled in English

Before applying for a license for a Factory you have to apply for a Layout Approval first. Please apply for the Layout approval first. After then you can fill up the License Application. If you already applied for the layout application for the establishment, you can skip the notice.

Application for Layout Approval

Type of License *

Classification/ Industrial Sector *

Introduction to Factory/ Establishment

Full name of Factory/ Industrial Organization/ Commercial Institution/ Commercial Bank and Insurance Institution/ Shop/ Contractor Agencies

Name *

Name(in Bengali) *

Year of Establishment

Phone *

Fax

Email *

Location of Factory/ Establishment

Division *

District *

Upazila/Thana *

Post Office *

Road no.

Road No. (in Bengali)

House/ Holding/ Village/ Mahalla *

House/ Holding/ Village/ Mahalla (in Bengali)

Building Information

Is building owned by Establishment owner?

Building Owner’s name *

Building Owner’s address *

Nature of the Building

Number of Factories in Building

Building Land Area

Factory Plinth/Floor Area

Nature of the Building

Number of Factories in Building

Building Land Area

Square Feet

Factory Plinth/Floor Area

Square Feet

Local Authority approved details of the layout, their inhibition in that holding and quantity - in which building the institute is located/ the rent portion of the building.

Reference No.

Plan Approval Date

Occupancy Details

Leading Products

Please choose an Industrial Sector to load its leading products

Types of Business/ Services/ Production process

Activities of Last 12 months

Activity planned for Next 12 months

Managing Authority

To fulfill the motto of Bangladesh Labour Act 2006, mention the Chief Executive/Manager’s Name: (administrative, administering officer or someone involved in managerial activities)

Name of the Person*

Father’s Name

Mother’s Name

National ID Number*

Mobile no.*

Permanent Address*

Details of Electrical Power

Type of electricity and total amount of established or proposed to be established electrical power (Applicable cases except Electrical Power Station)

Type of Electricity *

Amount of Electricity *

Kilowatt hour (kWh)

Details of Electrical Substation

Details of Employees

Maximum number of workers/employees on any date of the Current year (including the number supplied by the contractor)

Adult

Male

Adult

Female

Adult

Hermaphrodite

Adolescent

Male

Adolescent

Female

Adolescent

Hermaphrodite

Adolescent Child

Male

Adolescent Child

Female

Adolescent Child

Hermaphrodite

Maximum number of workers/employees on any date of Previous year *

Persons

(including the number supplied by the contractor)

Is there any Trade Union?

Membership Status

Name of the Organization

Registration Number

Date of Registration

Date of Renewal

License Fee

Before printing chalaan, please put the respective payment head, payment amount and bank information properly. We’re taking information from this form to print chalan. Printed challan is a dummy - you can use it to be informed, or can print directly to the bank. But before printing, make sure it’s accurate.

Submit the chalaan to the Respective Bank, and after getting the Chalaan Number put the information here, and submit the application. Before submitting the application, make sure the information in the form and in the chalaan are same.

Financial Year *

Print Challan Form

Payment Type

Payment Amount

৳

Treasury Chalaan Number

Date of Chalaan

Bank

Branch Name

Please note, based on the type of organization, Inspector might need more information/ documents

User Account Information

With the information below we will create a user account for you. With the single account you can apply for one or more establishments, and can track their progress overtime. For your account, please provide an email and set a password, and keep it safe.

Please note: Password should be a combination of Uppercase (A-Z) & Lowercase (a-z) characters, and Numbers (0-9). Minimum Six (6) characters is mandatory.

Full Name

Email *

Password *

Retype Password *

Attachments

Don’t worry! After drafting your form you will be given chance to attach files