Form No.3 NOTICE OF CHANGE OF MANAGER (Prescribed under rule 12A) 1. Name of factory with current license number ………………………………….. 2. Postal address ………………………………….. 3. Name of outgoing manager ………………………………….. 4. Name of new manager with postal address of his residence and telephone number, if installed 5. Date of appointment of the new manager with parentage Date Signature of new Manager Signature of Occupier Place | 
