(Print on Society/Trust Letterhead)

Declaration for Authorised Signatory

I/We

01) (Name of All Key Member of Society or Trust)

02) ..........................................
03) ..........................................

Hereby solemnly affirm and declare that Mr./Miss/Mrs. .................................................... (Name

of Authorized Signatory) Designation: ................................. (Designation) to act as an Authorized
signatory for the Society/Trust ........................................................ (Society/Trust Name) for
which application for registration is being filed/ is registered under the Goods and Service Tax
Act, 2016.

Mr./Miss./Mrs. ............................. (Name of Authorized Signatory) ............................

(designation) of the Society/Trust is authorized to sign all the necessary applications,
undertakings and such other documents as may be necessary for GST Application on behalf of
Society/Trust.

All his actions in relation to this business will be binding on me/ us.

(All Key Members Name, Signature and Society/Trust Seal Here)

Acceptance as an authorized signatory

I Mr./Miss./Mrs. ............................ (Name of Authorized Signatory) hereby solemnly accord my
acceptance to act as authorized signatory for the above referred business and all my acts shall
be binding on the business.

Date: ....../06/2017
Place: .......................

Signature of Authorized Person

(Name of Authorized Person)
(Designation of Authorized Person)