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STALaA Wael Foro : Ger ery Wal ea TEE alefehe (MSME CERTIFICATE/ UDYAM REGISTRATION) Aaa, ‘Prderr ¢ fas gran fae a ae Frere a atgare sarert afer Reeer Tas Fes aT aT aU ARTY Te ETT TET (MSME) A UaftepeT aT ET | ates at are ret Beat ar see Creer alee St wiht a ans Pew are HP aT eT ter hic ae dea ae ae Ot orale 10 Ras sia wa wt | IAT TT TIT 10 Pers share dae aig Bes AG Aa ot eH wa SME H eaees HES wat | Qa ga re We wt ON LETTERHEAD OF VENDOR MSME DECLARATION of M/s. Proprietor/ Partner/ Director do hereby declare that above concern is REGISTERED / NOT REGISTERED under MSMED Act, 2006. Our details are as under: Name of the Concern PAN No. ‘GSTIN Udyam Registration No. (if Applicable] ‘Type of Enterprise ‘Micro /Small/ Medium Type of Activity Manufacturer / Trader / Service Provider Turnover for FY ‘2a(Tick as Applicable) 0-5 Crore # 5-50 Crore More than 50 Crore Investment in Plant & Machinery as on 31.03.202: > 0-4 Crore 1-10 Crore More than 10 Crore > Note: If registered under MSMED Act, 2006 then provide copy of Udyam Registration If registered under MSMED Act, 2006 then the credit terms between buyer and seller would be 45 days (maximum) from date of acceptance of goods or service. 3. If the declaration is not given within 10 days from the date of receipt then it will be presumed that the concern is not registered under MSME Act, 2006 Declaration: 1.1 We do hereby declare that the above details given are true and correct. In case any detail is found incorrect then I/We are only responsible for the consequences under the respective act(if applicable). 2. We do hereby declare that our concern does not fall under the category of Micro Enterprise or Small Enterprise as defined by MSMED Act, 2006. OR 3. We do hereby declare that our concern do falls under the category of Micro Enterprise or Small Enterprise as defined by MSMED Act, 2006 and further declare that the credit terms defined under section 15 of MSMED Act. 2006 are applicable on us. **(Strike off whichever is not applicable between 2 & 3) Place: Date: (with Seal & Signature)

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