FORM RE - 1(See rule 112 of the Explosives Rules,
2008)Application for Renewal or revalidation of licence or
certificate(See also note below before filling up the form)Form :
--------------------------------------------------------------------------To,________________________________________Dear
Sir,1. I,.. on behalf of apply for renewal of licence or
certificate number.................inform..for the period from ..to
and furnish the following information :During the last five
years(i) I was/we were(a) not convicted/convicted and sentenced
for..for following offences..(b) not ordered/ordered to execute
under Chapter VIII of Code of Criminal Procedure, 1973, a bond for
keepingpeace or for good behaviour.(c) Not issued any direction
from the Court in connection with the above said licence or
certificate.( Give details if answer in affirmative)(ii) Licence or
certificate No..in Form..granted under the Act and these rules to
me/us werecancelled/not renewed by the licensing authority.2. I/We
also enclose the following documents:(i) Licence or certificate
No..in Formtogether with approved plans and schedules.(ii) Renewal
fee of Rsby bank draft of(name of issuing bank) bearing number date
.payablein favour of3. I/We confirm that I/we shall inform you
about the court's order or direction, interim or otherwise, if any
issued inconnection to the licence for which renewal is being
applied, failing which I/we shall commit a punishable offence.4.
I/We hereby certify that(i) the above particulars given by me/us
are correct.(ii) I am/we are aware that if explosives are illegally
transferred by me/us to any unauthorised person(s), I/we
shallcommit a punishable offence.(iii) I am/we are aware that if
I/we conceal any material information relevant to this application,
I/we shall commit apunishable offence and in addition, any
administrative action can be taken against me/us.Signature of
Licensee or certificate holder ............(Authorised person in
case of company)Place Date of application..
