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AFFIDAVIT

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..... _____and having PAN No:___________do solemnly affirm and state as under: 1. I _______________, S/o D/o . Shri___________, holder of Passport No: ______/PAN _______ (copy of Passport/PAN duly attested by Gazetted Officer is enclosed) am Director of the company stated above since_______________ 2. My present residential address is __________________(copy of documentary evidence duly attested by .....

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..... ______________ (give the reasons here) * Strike out whichever is not applicable 7. As on date, the Company does not have any dues towards Income Tax / Sales Tax /Central Excise/ Banks and Financial Institutions; any other Central or State Government Departments/Authorities or any Local Authorities. 8. Strike out whichever is not applicable :- (i) There is no litigation pending against or .....

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..... ial Statement/Statement of Account/declaration* signed by me. * Strike out whichever is not applicable. 11. In case of any loss(es) to any person or any valid claim arising from any person after the striking off of the name of the Company from the Register of Companies, , ___________, I the applicant, undertake to indemnify any person for such losses and the indemnity bond to this effect is en .....

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