Note: Affidavit must be on 10 Rs.

Stamp Paper

AFFIDAVIT
I,________________S/o,________________aged_________residing at______________
Managing partner, carrying on business in partnership in the firm name and style of
_______________ / Managing Director, Private/public Limited company, incorporated
under Companies Act 1956, having registered office at _________________ or principal
place of business at ___________________ (herein after called as the beneficiary) do
hereby solemnly affirm and declare as under:
I am the Sole Proprietor/ Managing Partner / Managing Director of the beneficiary
company/ firm, and am fully conversant with the affairs of the company/ firm. As such I
am competent to swear this affidavit.
That the documents mentioned herein below submitted along with the application for
assistance under Integrated Development of Leather Sector Scheme, for financial
assistance envisaged under the scheme are true and correct to the best of my knowledge
and belief.
Details of documents: 1 IDLS-I
2 Invoices
3 Last 3 years balance sheet
4. SSI registration certificate
5. Company incorporation certificate/ Partnership deed/ Factory license

DEPONENT
VERIFICATION:
Verified at _______________, this the ______ day of __________ 2006. That the
contents in the above affidavit is true and correct to the best of knowledge and belief. No
part of this affidavit is wrong and nothing material has been concealed therefrom.

DEPONENT
Attested by Notary Public.