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Affidavit

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..... ffice at ..............................and having CIN No. ..............................do solemnly affirm and state as under : 2. I/.............................., S/o/ D/o Shri/ Smt. .............................., holder of DIN/Income-tax PAN/Passport number :..............................(copy of Income Tax PAN/Passport duly attested by a Gazetted Officer or a whole-time practicing profess .....

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..... ny Secretary/Cost Accountant) or a Company Secretary in full time employment of the company is enclosed. Alternatively, an affidavit sworn before Magistrate may be enclosed) 5. The company maintains/does not maintain any bank account as on date (mention details of Bank Account(s) if maintained). 6. I affirm that the Company ..............................(mention name of the company) have a .....

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..... ending against the company, details of which are mentioned under serial number 9 of Form EES 2010. 10. In case of any loss(es) to any person or any valid claim and liability arising from any person after the striking off the name of the Company ..... (mention name) from the Register of Companies, I, the director of the company, undertake to indemnify any person for such losses, valid claim and .....

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