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Madhya Pradesh Shops & Establishments Act, 1958 Application for Establishment Registration | Docket No,.1258296 Date of Application : 11/02/2020 | Name of Applicant : MOHAMMAD RASHED | Father's / Husband's Name : YAKOOB KHAN | Applicant's Status: Proprietor/Owner Mobile No. : 8561258858 | Address of Applicant : 12,RASULABAD KA BADASUBHASH NAGAR,GWALIORM.P. | Name of Shop / Establishment : AMRITSARI NAAN FAMILY RESTAURANT Address: PATALI HANUMAN TIRAHA,TANSEN District: GWALIOR: | ROAD,GWALIOR.M.P. | Shop Type (Employee Wise) : 1 to 3 Employees Day of Weekly Off : Not Applicable | Old Registration No, (if Any): Owner Type : Proprietorship Business Type : Sale of any Foods / Eatables Category of Shop/Establishment : Restaurant, Eating House & Business Start Date : 01/02/2020 Residential Hotel omar A ekaM acer Ta Eber BT arIss FT 87 Met |) ae sear arden # fate got 8? Met [lat + war wrgar Gr AY iatBat a eaTA ara eamgt S et eargt B87 Mist [1 et oar Breet ae eeartt Ghar we aoa A 27 | 4, ardent ar ort ag oct Met Ll ae 2, andes # ote aftea sa Mie [lat 3. de arene / urret tort whe Met Ll ae 4, parce & ean a gS gene Met [ lag 8. oa Ht amfterear afaes set ef at sepa tehtorser ste arate Cie. 1a | saan ordes & arer ot aed ee ax arvohs A mg Bag euergerte 87 ‘ett lat | eer Gite At arora at 7 Mae [178 oa aiftee ea we ar ehh a stan Par ara #7 tat [ lat | <0 Spr ar aor refer & ah seo eget #7 Mai [ lag | 1a ae arene Met (1a 2, raat Garth wee At a (MeL 1 ae 3, ater Bar ate Se apr ech sft Lie tae saa Gre andes deena Fave B A aT a? lad [ ae sear raga F wet ar Hat sa SH ugar ae a elar 7 (yet [ 1 ae sar grea # geaMeTe ar Pras Sas oeaMT Gs g cEaTast & tar 87 (Mat att < yer wre (| ef at fe | ——___________________________ DECLARATION 1, MOHAMMAD RASHED Sio/ Dio Wio. Mr. YAKOOB KHAN do hereby solemnly affirm and declare that information Furnished by ‘me online and original documents scanned & uploaded by me along with this application are true to the best of my knowlegige and belief and | Shall be response for any kind of ile or fandulent information and my Registration wil be ale to be cancelled or wed In any sich ase without prior notice Besides any oer ciminaltil proceedings against me. ye Sis One it

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