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PROFORMA AB

UNDERTAKIING
I / We ......................................................................................................... state
and declare on solemn affirmation that I / We

am / are the Proprietor / Partner /

Director/ Trustee/ Karta/ Occupier/ Promoter of (name of the establishment)

M/s......................................................................................................................................
............................................................................................................................................
and I / We have started the new business at (Address of place of business)
............................................................................................................................................
From the date ---------------- onwards.
I / we have submitted Voter ID/ Pan Card / Driving Licence/ Adhar Card /
Passport in support of my/ our identity proof.
I / We have submitted agreement of purchase / lease / rent of the place of
business / telephone bill / electricity bill as the document in support of place of business
(Board resolution in case of any Board / Trust/ Corporation/ Autonomous Body should
be attached where necessary)
I / We submit that I / we have or will engage maximum number of ---------------employees during the business and shall pay fees accordingly as prescribed by the
Govt.
I / We submit and declare that I/We will not undertake any illegal activity or any
business prohibited in law in force in India.
I / 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.

I / We submit that the registered address of the establishment is as follows;

............................................................................................................................................
............................................................................................................................................
I / We are aware that the registration of the establishment under Maharashtra
Shops and Establishment Act, 1948 does not proclaim or restore any right of ownership
or possession or any right to property. The said document shall not be used for the
purpose of enforcing any right relating to the property.
I / We undertake to abide by the provisions of the Maharashtra Shops and
Establishment Act, 1948 and the Rules and orders passed there under by any Authority.
I /We hereby declare that the particulars and the statement made in this
application are true and correct to the best of my / our knowledge and belief and nothing
has been concealed or held therefrom.
I / We fully aware that any information furnished in the application if found incorrect or false or misleading or

obtained by misrepresentation will render the

cancellation of the Registration Certificate and shall render me / us liable for any penal
action or other consequences as may be prescribed in law or otherwise warranted.

Signature of the Deponent