ANNEXURE-3B
(To be executed on non judicial stamp paper of Rs.5/- and attested by a
notary public or ist 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 ........................................
solemnly affirm and state on oath that:
1. The plant & machinery/premises etc of the factory of the firm
situated at ............................................................
are owned exclusively by me/us.
2. The firm for which registration has been applied is a small scale
industrial unit on the basis of the capital investment of the cost of
plant and machinery.
3. None of the Proprietor/Partners/Directors of the firm was/is
Proprietor/Partner/Director of any firm with whom the Government has
banned/suspended business dealings.
4. We undertake to report to the Registering authority 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/Partners/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 .................
Deponents(s)
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Notes:
1. *Strike out whichever is not applicable. Affidavit portion
regarding ownership of Plant Machinery is not applicable, where audited
Accounts are submitted.
2. The applicants may submit the Affidavit separately or together as is
convenient.