Madhya Pradesh Shops & Establishments Act, 1958

Application for Establishment Registration

Docket No. 1416056 Date of Application : 24/09/2020
Name of Applicant : MOHD RASHID
Father's / Husband's Name : MOHD NAZIR

Applicant's Status : Proprietor/Owner

Mobile No. : 8305544113
Address of Applicant : H.NO 14 NEAR VISHRAM GHAT HINOTIYA KASAM CAMP HUZUR BHOPAL
M.P 462010

Name of Shop / Establishment : SAR INFRA

Address: SHOP NO 22 PUSHPA NAGAR BEHIND 80 FEET District : BHOPAL
PETROL PUMP BHOPAL
Shop Type (Employee Wise) : 1 to 3 Employees Day of Weekly Off : Sunday
Old Registration No. (if Any): Owner Type : Proprietorship
Business Type : Any Others Commercial Establishment
Category of Shop/Establishment : Commercial Establishment Business Start Date : 23/09/2020

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DECLARATION
I, MOHD RASHID S/o / D/o / W/o. Mr. MOHD NAZIR do hereby solemnly affirm and declare that all information furnished by me online
and original documents scanned & uploaded by me along with this application are true to the best of my knowledge and belief and I shall be
responsible for any kind of false or fraudulent information and my Registration will be liable to be cancelled or withheld in any such case
without prior notice besides any other criminal/civil proceedings against me.
Signature of Applicant