Declaration for Authorized Signatory

I/We (Name of Proprietor/all Partners/Karta) hereby solemnly affirm and declare that (name of
authorized signatory) to act as an authorized signatory for the business (Name of the Business) having
GST Registration Number (Number) for which application for registration is being filed/ is registered
under the Goods and Services Tax.

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

Signature of Proprietor/All Partners

Name
Designation

Acceptance as an authorized signatory

I (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.

Place Signature of Authorized Signatory

Date Designation/Status