(See rules 9, 12, Forms FC-3A, FC-3B and FC-3C)

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..... ief Functionary / Chairperson/ President/Secretary/ Chief Executive Officer/Managing Director/office bearer/key functionary/member), son/daughter/wife of ., resident of ., having Aadhaar Number /PAN Card Number / Passport Number / Voter Identity Card Number/ Driving Licence Number as the identity proof, do hereby solemnly affirm on oath that I am the Chief Functionary / .....

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..... ation or any of its members or office bearers or key functionaries that comes to my knowledge. 3. I also understand that submission of any false or misleading information shall be punishable under the applicable law. Place: ___________ Date:____________ Deponent VERIFICATION I, ., above named deponent do hereby verify that the cont .....

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