Declaration for Authorised Signatory

(Separate for each signatory)

I--------------, Managing Director of ------------------------ Private Limited ( hereinafter refer as “the

Company” ) hereby authorize,------------------------ (name of employee of the company) to act as an
authorized signatory of the Company to sign the invoice, credit note, debit note and any other necessary
document required under the Goods and Service Tax Act, 2017.

Detail of signatory is as under:

S. Full Name Employee Code Designation/Status Signature

No.
1.

For ------------------------ Private Limited

_______________________
Managing Director
DIN:

Acceptance as an authorized signatory

I, -------------------------employee of the company hereby solemnly accord my acceptance to act as

authorized signatory for the above referred business activities only.

Place: ____________ Signature of Authorised Signatory (Name)

Date: _________________
Designation/Status