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FORM C

(See Rules 4 & 5)

Registration Certificate of establishment

Name of the establishment, if any………………………………………………..

Name of the occupier/employer …………………………………………………..

Postal address of the establishment ……………………………………………..

Registration No. ……………………………………………………………………

It is hereby certified that the establishment as mentioned herein has been registered as a ……………. 1under the Delhi Shops & Establishments Act, 1954, on this ………………………… day of …………………………

Seal

Chief Inspector, Shops & Establishments, Delhi

Renewals

Date of Renewal

From

To

Signature of the Chief Inspector of Shops & Establishments with Seal

1.

 

 

 

2.

 

 

 

3.

 

 

 

1. Here insert the category of the Establishment.

 

 

 

 

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