[To Be Printed on Supplier/Service Provider’s Letter Head]
CONFIRMATION ON APPLICABILITY OF “MICRO, SMALL AND MEDIUM ENTERPRISES
DEVELOPMENT ACT, 2006 (MSMED ACT 2006)
1. We confirm that provisions of “Micro, Small and Medium Enterprises Development Act 2006”
(‘MSMED’) are applicable to us and our organization falls under the definition of:
a. Micro Enterprise - [ ]
b. Small Enterprise - [ ]
c. Medium Enterprise - [ ]
d. Not applicable - [ ]
(Please put a tick in the appropriate box)
2. Copy of proof of valid document/ certificate [indicating registration no.] of being a Micro/ Small/
Medium Enterprises is enclosed.
Signature of Authorized Signatory:
Name of Authorized Signatory:
Designation of Authorized Signatory:
Name and Seal of Supplier/Service Provider:
Date:
Place:
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Note: In case above Format along with proof of valid document/ certificate [indicating registration no.]
is not submitted, it will be presumed that your organization is not a micro, small or medium enterprises
as per the provisions of MSMED Act 2006.