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ORIGINAL

FORM "D"
N» 2407^9
(•SW Rule- 6) .
Bombay Shops and Establishments Act, 1948

REGISTRATION CERTIFICATE OF ESTABLISHMENT

1. Registration No .' \ V T S 3 . ~*^f^)V&


2. Name of the Establishment .. * . , . t _„
3. Name of the Employer
4. Nature of Business
imerit.
5* Postal address of the Establishme _ —.... , - - - . . • . . . . . . . .>.P-., . r_
6. Previous Registration Certificate No

Office of the Inspector under the


BofhbayjShops and Establishments Act, 1948.

It is herebv certified that the.


has been registered as... .T^S^jSSyS^. Tf^S^SJv .under the Bombay Shops and Establishments
1948 this. /...^^^.dayof....rS5S^r.-...19^ Jc

Inspector under^tne f Bombay Shops and


Establishments/Act, 19*1

Registration of change of information


shown above, if any.

Renewal of Registration

Date of Renewal and Fee paid Signature of Inspector under the


Receipt No. Bombay Shops and Establishments
Act, 1948
0) (2) (3)
Rs.

- \3Bcf
- \m\
^92.

GPN—E-2239—DCLN—5-83—3.00G Bks. of 100 Ivs. each in Duplicate—PA4.

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