Every such application shall be accompanied by relevant physical documents as listed below.

Sr. No.	Title	Download
1	Required filling Form	(35 KB)

• Please use Prescribed Form for the Application.
• Please fill the Application form completely and correctly.
• The Establishment Registration Number mentioned in the application form.
• The name, address and other details of the establishment mentioned in the application form.
• The reason for requesting Duplicate Certificate mentioned in the application form.
• Challan/fee receipt attached.
• The amount paid as fees correct.

Note

• Notification to applicant will be sent on his Email or SMS. Hence request to provide email address and mobile number.
• Click on Help on the top right corner of this application form, a sample application form duly filled with sample data in bilingual is available for your reference.
• Take copy of application form using Print form before submitting.