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Self-Declaration / Frerworery
We hereby solemnly affirm and state that the business which I/we have started is not banned
r prohibited by any Act, Rules, Law or Order of any Court of Law or any competent authority and the
premises where I/we are conducting the said business is free from violation of any Act, Rules, Order of
any Court of Law or any Competent Authority.
We hereby declare that the information provided above is true and correct to the best of my/our
personal knowledge, information and belief. /We am/are fully aware about the consequences of giving
false information. If the information is found to be false, !/We shall be liable for procecution and
punishment under the Indian Penal Code (45 of 1860) and /or any other law applicable thereto.
We have obtained necessary licenses, permissions, permit for the conduct of this business and the
place of business from the appropriate Authority.
We shall be responsible and liable for legal action if the business is conducted without proper licence,
permission, permit from the appropriate Authority.
We submit and declare that I/We will not undertake any illegal activity or any business prohibited in
law in force in India,
We declare that the place of business is not located in any area wherein commencing / running of such
business is prohibited by any law or order of any Competent Authority.
'/We hereby declare that the copies attested by me are true copies of original documents. /We am/are
well aware of the fact that if the copies are found false/forged, |/We shall be liable for procecution and
punishment under the Indian Penal Code (45 of 1860) and /or any other law applicable thereto.
We undertake to abide by the provisions of the Maharashtra Shops and Establishments (Regulation of
Employment and Conditions of Service) Act, 2017 (Mah. LXI of 2017) and the Rules and orders passed
thereunder by any Authority.
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arts Sat carrey art BA ore Ora, fey, storeanet FareTara Sra
atorcandh were saarearer anterai’ seater gre aT.
AAI, aat Ia axavaRs A, at stots aa eet safe, aga siete safer
IRTgR, aaira a PRR ww Fara ant, GAM aR oar ROTA AST ITERTAT
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aeatasrem Feat site. ar wet reer Phra Taree arASaTe area rear Heir es HARA
(1860.a7 45) anf / far Fareiderat ar] Sree OTE FA HATTA ATTIC PR
Fareed Gear sewaranst a RedATS aA / ae oA ae! Seer MTA ATT ATERTAT Gt saTvHe ae.
HUSTED, HEAT Sar ST sireUTGa (AtaHa a Hares fafa) sfofray, 2017 (2017 a 61) a
it phe: area aoa ott ev
Name and Signature of the Employer
Pooja Ujal
0.¢, UL
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