Rule 4 or 5

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..... duplicate and shall be accompanied by certified copy of the Memorandum issued) 1. Name of the applicant: (In block letters) 2. Full address of the applicant: 3. Whether the applicant is res .....

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..... s given above are true and correct to the best of my/our knowledge and belief and that I/We am/are willing to accept any direction/order of the Compounding Authority in connection with compounding of .....

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