BRIHANMUMBAI MAHANAGARPALIKA

बहन बई ह नगरप ल क
The Maharashtra Shop and Establishments Act, 1948
ह र ष दक न. व आस2 पन अल4लनय 1948
FORM “E” “न न ई”
(See Rule 8) (लनय 8 पह )
फ.रबद च< स>चन ?-
Notice of Change
1. सस2.च. न व …………………………………………………………………………………………………………
1. Name of the Establishment………………………………………………………………………………

2. क च./लनयGकIय च. न व……………………………………………………………………………………
2. Name of the Employer……………………………………………………………………………………..

3. नLदण< प णपत क क………………………………………………………….……………………………

3. Reg.Cft.No. …………………………………………………………………………………………………………………………………………………………………..

4. सस च पत ……………………………………………………………………………………………………………………………………………………………………….
4. Address of the Establishment ……………………………………………………………………………………………………………………….........

Pan Card No. …………………………..Email Id…………………………………………………… Mobile No. …………………………………

. न व आस पन अध5ननयम,1948 अनवय नमलल ननर:कक य स –

मह र ष, दक
अश> स.चन दणय य क@, नम.न ‘अ’ मधय प ठववललय म हह > प.ढ:लपम ण बदल घडOन आलल असOन कPपय तय च>
नQद घय व>.
To the Inspector under The Maharashtra Shops and Establishments Act, 1948-
Notice is hereby given that the following change has been taken place in respect of the information
forwarded to you in form ‘A’ which Please note.

म लक च>/ननय.क क च> सव कर:

Signature of the Employer.