Form M
[See Rule 2-A(3)/Section 4-B(3)]
(Uttarakhand Dookan Aur Sthaapan Adhiniyam,2017)
Labour Department, Uttarakhand
Registration Certificate of Shop or Commercial Establishment
1. Name of the Shop or Commercial : CITY DENTAL LAB
Establishment.
2. : WARD NO 06 GADARPUR UDHAM SINGH NAGAR
Full Postal Address And Location.
UTTARAKHAND
3. Name of the Owner. : MOHD RIYAZ
4. Owner Father/ Husband Name. : MOHD SHADDIK
5. Nature of Business. : Other
6. Number of Employees. : 10
7. Registration Number. : UKSAUSN005189
It is hereby certified that the shop/commercial establishment,the particulars of which have been given above,has
been registered under the Uttarakhand Dookan Aur Sthaapan Adhiniyam,2017 on this day 01/01/2019. This is a one
time registration and does not require renewal.
Signature of the Inspector of Shops
and Commercial Establishment/LEO,
Uttarakhand
* This is a computer generated copy from Labour Department. This does not require any Signature.
Say No to Child labour. Children under 14 years is prohibited to work
anywhere.