ANNEXURE - 3A 

    (To  be executed on non-judicial stamp paper of Rs.5/- and attested by a
                       notary public or 1st class magistrate) 

                                 A F F I D A V I T 

    I/We*.......................son of.......................the Proprietor/
    Partner(s)/ Director(s)* of  M/s.............................with  their
    registered office   at.....................................     who  are
    Indian Agents/authorised agent/distributors/stockists /supplier  of  M/s
    .......................................solemnly affirm and state on oath
    that: 

    1.  a) The premises of the firm situated at ............................ 
    are owned exclusively/rented by me/us* upto ............(indicate date). 

    1.  b) That the applicant firm  possess  adequate  after  sales  service
    facilities which are available at ....................(give address(es). 

    2.   None  of  the  Proprietor/Partners/Directors* of the firm was or is
    Proprietor or Partner or Director of any firm with whom  the  Government
    have banned/suspended business dealings. 

    3.   We  undertake  to  report  to  the  Registration  Branch  of  DGS&D
    immediately after we are informed but in any  case  not  later  than  15
    days.    If  any  firm  in  which  Proprietor/Partners/  Directors*  are
    Proprietor  or  Partners  or  Directors  of  such  a   firm   which   is
    banned/suspended in future either before the  Registration is granted or
    thereafter. 

    The information given above is true to the best of my/our knowledge. 

    Place:                                      Signature(s) of Deponent(s) 
    Date:                                       (Seal of the firm/Company) 

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                                    Verification 

    I/We*  above named deponent/deponents hereby verify that the contents of
    my/our* above deposition are true to the best of my/ our* knowledge  and
    nothing has been concealed therefrom. 

    Verified at ............this the.........day of .................... 

                                               Signature(s) of Deponent(s) 
                                                (Seal of the firm/Company) 
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    Notes:  
    1.  *Strike out whichever is not applicable. 
    2.  The applicants may submit the Affidavit separately or together as is
    convenient. 
    3.  In case of rented premises attested copy of lease agreement and rent
    receipt are to be enclosed. 

    (form99)