Signature Declaration Format Or Declaration Format To Authenticate Authorized Personnel Signature Forms printable pdf download

Signature Declaration Format Or Declaration Format To Authenticate Authorized Personnel Signature Forms

Signature Declaration Format (To be printed on Establishment Letter Head)

I _______________, (Proprietor/MD/MP/COO/CEO) of (Name of the Establishment) do hereby declare

that below signed specimen signature is the authenticate signature as signed by me for the

(Registration/Renewal/Amendment)

establishment

under

the

Karnataka

Shops

and

Establishments Act, 1961”.

(Specimen Signature)

Also, I do hereby declare that there is no child labour engaged in our establishment to work for our

establishment and I fully understand that the signature furnished above will be used as my authenticate

signature for the Registration purpose of my establishment and hence for any incorrectness/ false

information, I would be liable for penalties under the “Karnataka Shops and Establishments Act, 1961”.

Signature

(Name in Block letters)

Place: __________________

Date : __________________

Declaration Format to Authenticate authorized personnel signature (To be printed on

Establishment Letter Head)

I _______________,(Proprietor/MD/MP/COO/CEO) of (Name of the Establishment) do hereby authorize

Mr/Ms/Mrs_______ whose signature as attested below for the purpose of Registration of my

establishment (name of the Establishment) / Branch name) under the Karnataka Shops and

Establishments Act, 1961”.

Authorized Personnel Specimen Signature

(Authorized Personnel Name)

I hereby declare that the above signed specimen signature is the authenticate signature as signed by

Mr/Ms/Mrs_______ in front me. Also, I do hereby declare that there is no child labour engaged in our

establishment to work for our establishment and I fully understand that any incorrectness/ false

information, I would be liable for penalties under the “Karnataka Shops and Establishments Act, 1961”.

Signature

(Name of the

in Block letters)

Proprietor/MD/MPCOO/CEO

Place: __________________

Date : __________________

Signature Declaration Format Or Declaration Format To Authenticate Authorized Personnel Signature Forms