FORM 7

FORM 7
[See Rule 154(6)]

Application for grant of a licence for Van for transport of Explosives

I _____________on behalf of _____________ _____________.apply for grant of licence/amendment of licence No ________________. to manufacture explosives. I give full particulars below and enclose other documents as required. The replies to be written in this column 1. Name in which licence is required ______________________ to be granged (see notes below) ______________________ 2. Status Individual ______________________ Company ______________________ Society ______________________ 3. Age (see notes below) ______________________ ______________________ 4. Postal address ______________________ ______________________ Pin code No. ______________________ Telephone No. ______________________ Telegraphic Address ______________________ Telex ______________________ 5. Address of the premises where the vehicle is to be ______________________ Normally kept. ______________________ 6. Explosives to be carried ______________________ 7. Places between which the vehicle will ply ______________________ 8.(a) Will the vehicle be used for carrying explosives to ______________________ Site and used for blasting Yes No (b) If yes, give details of area of operation ______________________ 9.(a) Description of vehicle ______________________ Make ______________________ Registration No. ______________________ Engine No. ______________________ Chassis No. ______________________ (b) Gross vehicle weight rating ______________________ kgs (c) Weight of unloaded vehicle ______________________ kgs (d) Tyres ______________________
Size	Ply rating	Maximum individual Tyre load @ cold Inflation pressure	Number
Front	.	.	.
Rear	.	.	.
Total maximum load = Total maximum Individual tyre load x number = ______________________ 10. Description of other fittings on the vehicle ______________________ 11. Carrying capacity permitted by Regional Transport ______________________ Authority 12. (a) Has the applicant been convicted under any offence Yes No or ordered to execute a bond under Chapter VIII of Code of Criminal Procedure, 1973, during the last 10 years? (b) If yes, give details ______________________ 13. (a) Particulars of licence held by the applicant under ______________________ Explosives Act, 1884, during the last 10 years Yes No (b) Was any licence cancelled/not renewed? ______________________ (c) If yes, give details ______________________ 14. Additional information, if any ______________________ I certify that the information given above is correct and that every driver of this vehicle shall be instructed in relevant provision of the Act and rules made thereunder. Date _________ Signature of applicant ____________ Place_________ (Authorised person in case of Company) ______________________ Name in full _____________________ Address ________________________ Note :- (1)In case where application is made in the name of a company, the names and addresses of Directors and partners and the name, address and specimen signatures of person or persons authorised to sign the crrespondence in respect of licence applied for should be given on separate sheet and enclosed with this application form. Any change in the above information should be immediately communicated to the licensing authority renewing the licence. (2)Age to be given in caee the applicant is an individual. (3)The applicant should submit plans of the road van showing complete construction details, fittings, and safety devices. Full details of additionan equipments/fittings in the vehicle should also be clearly shown. (4)Total maximum load must equal or exceed Gross vehicle weight rainting. (5)Delete whichever is not applicable.