Specimen copy of Declaration of Registration

under “Micro, Small and Medium Enterprises Development Act, 2006” (MSMED Act, 2006)
Format to be used if you are not registered under the MSMED Act.
(To be printed on letterhead)

To,
____________________

Subject : Declaration of Registration under the “Micro, Small and Medium Enterprises Development Act,
2006” (MSMED Act, 2006)

Dear Sir,

1. I/We _______________ Proprietor / Partner(s) of M/s. _______________ having PAN __________________

and GSTN ______________ hereby declare that we are NOT REGISTERED under the MSMED Act, 2006.

I/ We further declare that the contents of this declaration are true and correct to the best of my knowledge and
belief and nothing has been concealed there from.

Yours faithfully,

Signature
Seal of the Company

Date:
Place:
Specimen copy of Registration Declaration
under the “Micro, Small and Medium Enterprises Development Act, 2006” (MSMED Act, 2006)
Format to be used if you are registered under the MSMED Act.
(To be printed on letterhead)

To,
______________________

Subject : Declaration of Registration under the “Micro, Small and Medium Enterprises Development Act,
2006” (MSMED Act, 2006)

Dear Sir,

1. I/We _______________ Proprietor / Partner(s) of M/s. _______________ having GSTN ______________

hereby declare that we are REGISTERED under the MSMED Act, 2006 as _________________(Micro /
Small / Medium Enterprise / None) (Please mention as applicable to you) and our Udyam Registration No. is
_________________ dt. ___________. ( A copy of Registration is attached hereto.)

2. I/We further declare that according to the said registration we are _______ (Traders/Manufacturers/Service
Providers). (Please mention as applicable to you)

3. I/We further declare that we are also a Supplier within the definition of the MSMED Act,2006.

(A copy of MSME Registration Certificate and PAN is attached hereto and we are aware that without which
classification as a Supplier is not valid.)

I/ We further declare that the contents of this declaration are true and correct to the best of my knowledge and
belief and nothing has been concealed there from.

Yours faithfully,

Signature
Seal of the Company

Date:
Place: