SELF DECLARATION FORMAT FOR NEW CERTIFICATE OF ENLISTMENT

I/we Shri/Smt……………………………………… Son/Daughter/wife of ………………………………………………aged about…………………years, residing at …………………………photo ID No. being……………………… ID type …………………………………. (Epic/AADHAAR/Passport/Driving license etc.) do hereby solemnly affirm and undertake as follows:

That I/We am/are proprietor/partners(s)Directors(s)/Manager(s)/karta of M/s ………………………………………at Premises no…………………………………………… Howrah711……under ward no…………

That the above Establishment is being used as……………………………………………………only (Nature profession. Trade and calling).

The Company Identification Number (CIN/LLP Identification Number as per register Of Companies/Ministry of Corporate affairs data…………………………………………….. [Applicable in case of public & Private Ltd company / limited liability Partnership (L.L.P) only]

I/we hereby solemnly affirm and state that the business which I/We started isn’t restrained or banned or prohibited by any Act. Rules, Law or Order of my court of Law or any component authority and the premises where I am/we are carrying out the said profession, trade and calling is free from any encumbrance and in terms of Law.

I/We hereby declare that the information provided above is true and the correct to the best of my/our personal knowledge Information and belief.

I/We have obtained the necessary statuary certificates, Licenses, permissions, permit for carrying out of this trade, calling and profession from the place of Business from the appropriate authority accordance with law.

I/We shall be responsible or liable if the profession, trade, calling is carried out without certificate of Enlistment of any of the certificates as per law from the appropriate authority.

I/we undertake to comply the provision of the west Bengal Shops and Establishment Act, 1963 and the Howrah Municipal corporation Act 1980.and other if any and the rules and orders passed there under by any authority.

I/We undertake that the profession, trade, calling in a resident/non-residentialbuilding(strike out the inappropriate) and such profession. Trade calling does not violate any provision of the Howrah Municipal Corporation Act, 1980.

I/We carry the trade, calling and profession against which C.E is applied for which is applied for which is located within the Jurisdiction of Howrah municipal Corporation.

I am fully aware about the consequences of giving the false information /false or inappropriate document. If the Information /document is found to be false and inappropriate. I/We shall be liable for prosecution and punishment under the Indian penal Code. 1860 and/or any other law applicable there to in addition to the cancelation of Certificate of enlistment