ANNEXURE - 5 

                                    VERIFICATION 

    1.  I........................son of.................................... 
    (Proprietor/Partner/Director/Managing  Director/  Authorised  person  of
    M/s.........(Name  of  Indian  Agent)  do hereby certify that the agency
    agreement with M/s .....................................(name of foreign
    manufacturer/principal) dt........  is current and  that  the  applicant
    firm  has  no other agreement with any of the Manufacturer/principal for
    payment of commission other than what is stated herein,  either  abroad,
    or in India in foreign currency or in Indian Currency. 

    2.   I also certify that I am duly authorised to submit this application
    on behalf of and bind the firm . 

    3.   I also confirm that in the event of any change in agency agreement,
    termination of the agreement and/or change  in  the  management  of  the
    applicant  firm,  the same will be duly intimated to the DGS&D within 15
    days of such change. 

                                                     Authorised Signatory 
                                                           with seal 

    Witness by (Name & Address) 

    (1) 

    (2) 

    Place:........... 
    Date:..........