BRIHANMUMBAI MAHANAGARPALIKA

ye=nvcegbyeF& ceneveiejHeeefuekee
The Maharashtra Shops and Establishments Act, 1948
ceneje<^ ogkeeves Je DeemLeeHevee DeefOeefveece 1948
FORM A vecegvee De
Ward
(See Rule 5) ( efveece 5 Hene )
efJeYeeie
Statement under Section 7(1) keuece 7(1) DevJeeses efJeJejCe He$e
1.

Name of the Establishment, if any

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1. mebmLeses veebJe keesCelesner Demeueeme

2.

Postal address and situation of the establishment

2. mebmLesee [ekesee Hellee DeeefCe mebmLeseer peeiee

3.

3.
4.

Whether the establishment falls under Public

Sector or Private Sector (See Notes 4 and 5 below)
mebmLee meeJe&peefveke #es$eele esles keer Keepeieer #es$eele esles (leUerHe 4 Je 5 Hene)
Situation of office, store room, godown, warehouse, or
work place, if any attached to shop but situated in
premises different from those of the shop.

4. ogkeeveeMeer mebueive Demeuesues Hejbleg ogkeeveeee peeiesHeemetve JesieUee

efkeeCeer Demeuesues keeee&uee, Yeeb[ejie=n, ieesoece, JeKeej efkebJee keeceebeer
peeiee, keesCeleerner Demeueeme leees mLeeve
5.

Name of the employer

5. ceeuekeees veebJe
6.

Residential address of the employer

6. ceeuekeeee efveJeememLeeveeee Hellee

7.

Name of the Manager, if any, and his residential address

7. JeJemLeeHeke keesCeleener Demeueeme leebes veebJe Je leebee efveJeememLeeveeee

Hellee
8.

Category of the establishment, i.e. whether a shop,

Commercial establishment, residential hotel, restaurant,
eating house, theatre or other place of public amusement
or entertainment.

8. mebmLesee Hekeej cnCepes ogkeeve, JeeHeejer mebmLee, efveJeeme eesie

HeefLekeeece, Deenejie=n, Yeespeveie=n, veeeie=n Jee meeJe&peefveke ceveesjbpeveees
efkebJee kejceCegkeeres Flej efkeeCe Deens efkebJee kemes.
9.

Nature of Business

1)

He@ve kee[& keceebke Je leHeMeerue _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _

2)

DeemLeeHeveebee otjOJeveer keceebke _ __ _ _ _ _ _ _ _ _ _ _ _ _ _

3)

leHeMeerue YeceCeOJeveer keceebke _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _

4)

F&-cesue Deee[er _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _

5)

erve vebyej

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9. Oebeees mJejHe
10

Date of commencement of business

10 Oeboe megj kesueeeer leejerKe

1

11

Names of members of employers family employed in the

establishment

11 mebmLesceOes veeskejerJej Demeuesuee ceeuekeeee keggbyeeleerue Fmeceebeer veeJes

Adults

Young persons

Total

Males/Hegj<e

Heew{
lejCe Fmece
SketCe
.......................................................

Females/efeee

.......................................................

Total/SketCe

.......................................................

12

Names of other persons occupying position of

management or employees engaged in confidential
capacity. (Indicate sex and age in case of young persons)

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12 JeJemLeeHekeeeer peeiee OeejCe kejCee-ee efkebJee ieesHeveere mJejHeees

keeceeJej sJeCeele Deeuesuee Flej Fmeceebeer veebJes (lejCe Fmeceebee
yeeyeleerle eer efkebJee Hegj<e Deens les DeeefCe Jee oMe&efJeCeele eeJes.)
13

Total number of employees

13

veeskejebeer SketCe mebKee

Adults

Young persons

Total

Males/Hegj<e

Heew{
lejCe Fmece
SketCe
.......................................................

Females/efeee

.......................................................

Total/SketCe

.......................................................

Date

efoveebke

(Signature of employer)

(ceeuekeeeer mener)

__________________________________________________________________________
Note:

(1)

efHe

(1) ns efJeJejCe He$e Devegmeteer Ske ceOes efJeefnle kejCeele Deeuesuee Heer meefnle mebyebefOele mLeeefveke #es$eeee efvejer#ekeebke[s HeeefJeCeele esF&ue.
(2)

This statement shall be sent to the Inspector of the local area concerned with such fees as are prescribed in
Schedule I
Item 4 should be filled only when the office, store-room, etc., is not separately registered under the Act, In respect
of such offices, store-rooms, etc. particulars required under Items 11, 12 and 13 should be given separately in this
statement.

(2) pesJne keeee&uee, Yeeb[ejie=n Jeiewjs DeefOeefveeceevJees JesieJesieUs veeWoefJeuesues vemesue lesJnee yeeye keceebke 4 YejCeele esF&ue. Demes keeee&uee, Yeeb[ejie=n
Jeiewjsee yeeyeleerle yeeyeer 11, 12, 13 DevJees DeeJeMeke Demeuesuee leHeMeerue nee efJeJejCeHe$ekeeble mJeleb$e osCeeble esF&ue.
(3)

If employer is more than one individual names and address of all individuals concerned should be given in Item 5
and 6 respectively.

(3) pej ceeueke SkeeHes#ee DeefOeke Jekeleer Demeleerue lej lee mebyebOeerle Demeuesuee meJe& JekeleeReer veebJes Je leebes Helles Devegkeces yeeye 5 Je 6 ceOes osCeele
esleerue.
2

(4)

Establishment in Public Sector means an establishment owned, controlled or managed by -

(4) ``meeJe&peefveke #es$eeleerue mebmLee`` cnCepes KeeueerueHeceeCes ceeuekeer Demeuesueer efveebef$ele efkebJee JeJemLeeefHele mebmLee
(i)

The Government Or a Department of the Government.

(ii)

a Government Company as defined in Section 617 of the Companies Act, 1956 (I of 1956).

(Ske) Meemeve Deiej Meemeveees Keeles

(oesve) keHeveer DeefOeefveece 1956 (1956 ee Ske) ee keuece 617 ceOes JeeKee efoueeHeceeCes Meemekeere kebHeveer.
(iii)

a Corporation (including Co-operative Society) established by or under a Central-Provincial or State Act,

which is owned controlled or managed by the Government.

(leerve) keWere Deiej jepe DeefOeefveeceevJees mLeeHeve Peeuesueer, Meemeveeee ceeuekeereer Deiej Meemeveeves eeueefJeuesueer Deiej efveebef$ele kesuesueer DeMeer mebmLee
(menkeejer mebmLeeOejve).
(iv)

a Local Authority

(eej) mLeeefveke HeeefOekejCe.

(5)

Establishment in Private Sector means an establishment which is not an establishment in Public Sector.

(5) ``Keepeieer #es$eeleerue mebmLee`` cnCepes meeJe&peefveke #es$eele vemeuesueer mebmLee.

rk/-