DECLARATION FOR MSME

To ,

Goodfarms Milk Pvt Ltd

_______________

_______________

Dear Sir,

Sub: Statutory requirement under Micro, Small and Medium Enterprises Development
Act, 2006

We aware that Government of India has enacted the Order called the Specified Companies
(Furnishing of information about payment to micro and small enterprise suppliers) Order, 2019.

In this regard, we confirm our organization is registered/not registered (Strike out which is not
relevant) under the Micro, Small and Medium Enterprises Development Act, 2006. The details
are as below

Name of Supplier:

Registered under MSME (Yes/No):

Category of MSME (If Yes above) : (i.e., Micro

Enterprise, Small Enterprise or Medium Enterprise under
which it is registered)

MSME registration number(If yes above)

(Attached a certificate copy)

PAN of Supplier:

Yours faithfully,

For ______________________

Authorized Signatory (DATED, Signed and stamped)