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fe [OE OA OYTaT/ 782 UNDERTAKING Sho esta A pocucnd D0 Wawa ect Kallang Mogi to het ‘and declare as udder + ' 3) That 1am cvehiegt1 tebeais, dP penerc “ 2) Thar Jor my as; gtlates are neither In Invalved in any case of theft of power/uye “anywhere in ella ate of Puniab and nor any case for cecovery of eefauling amount charged against me 4 my associates is pending and subsequently during grocessing ‘of application If some amount becomes due or undertaking is found to be contrary to the facts then my shall no be processed and action shal be initsted at pet 2valing regulation cf Hon’bel PSERC/ndian Electricity Act-2003 till sucn time 109% of outstanding are to be paid by me 3) That there is not any due amount pencing against me of powercom in case of any a not 19 ge installed till that cutstanding amount is pais ue amount my conne 44) That buitcing / site where connaction to be installed does not fail in cny ‘roc oF any national nighuvay or bulicing/sitais more than $/10/25 meters sway from the scheduled read. The bullding/site does also not fallin restricted zone as ceclared byvinwe of aw. spel: jon authority / Ombudsman / Co the decision of adjud Autherity then ler my Asscciates shall abide by 5) That the propertyis free from any family/legal cispute ther In appreved coleny or has been so proved irom local pody 7| The property is 5) Thatin case of any family or legal dispute, PSPCL will not be party of that dispute ible for any elay in the Installation of electricat le epalying for cone 8) Tha: | sal be resp 36) Trrat m cas2 not complying to information /-ubove from pars 2 t> pan 8, then Psece " bbe to reject my application, Als! ad Gate ‘Scanned with CamSeanner Clam Gonder ions ges * S, eid higeond / Certied at | (. ses wee WIS Ch. fvdiae 4 Argenta? Progrietoripatner of A. Daclise Paliw Clete oa! D: P ____donnoroby solemnly air and declare as under 1. Thal the industry is covered at Sr. No. 4 of ist ot fypern) ena} ted Lae Categories of industries as shown in circular No. 26/2013 of /PSPCL' 2s per instructions of PPCB. 2. That the total investment of the industry shall be less than RS.. Teed: On plant & machinery e’c. or dally production of plant & machinery is upto! Kgs. TonsiQisittis. That the ndusty is establshed being established in he demarcated Industrial Estate ‘Zone classified by State Autnertes viz PSIEC, Departrent of industries PUDA, CTP. Under draft Masler Pla or in mixed category area or predorinarty Industies are vathin Municipal Limits of a Town/City alter classtication of the area by CTP/STP/OTF (Report of CTP/STP/DTPIM attached). 3. That there will nt be discharge o! trade effluent from the industry into stem cr sewer erento nd du tots estzbishment ore operatan of processor any Weatrant and disposal or an extension or addition there lo. That tie industry will not discherge any air polutant including noise into atmosphere. That the industry wil not use/nandedtransporVdispose of any toxiothazardous waters & chemicals. 5 dustry is found to create condition that generate any tyce of ‘s any objection fom the surrounding community ana, ¢ on verification, itis found that such objection has some substance, the Pun'eb Polution Control Board shail be ‘ree to take legal action under the provision of Water ( Prevention & Control of Polution) Act, 1974 and Air ( Prevention and Control of Pollution) Act, 1965 as considered appropriate. ied S22 tare Anes “yin » 2 Deparient Verifed that the contents of affidavit from (1)to (6) are true and comrect to the best of my knowledge, No part of tis false and no material (s) has been kept concealed their in Deponent ‘Scanned with CamSeannet

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