Name of the person
Designation of the person
Date from which the
Signature of the person so
authorized.
with relation to the
authorisation has been
authorized.
business.
made.
D E C L A R A T I O N
I (name)__________________________status__________________________
of the above business hereby declare that the information given in this form is true and correct.
Signature_______________________
Date of declaration____/____/_______
with seal.
Please enclose copy of the documents in support of your application for amendment of the
certificate of registration”.