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[FORM’A’] [See Rules 3(1), 3-A and 5] Combined Application ...

[ form A ][See Rules 3(1), 3-A and 5] Combined Application for Registration/Renewal/Any change under Karnataka Shops and CommercialEstablishments Act, 1961 and Rules there underPART A1 Name of the establishment and : Fax: E-mail1 AName of the Head Office, if any withpostal address:Tel: Fax: E-mail2 Details of the Proprietor/ Managing Partner/ Director(In case of partnership or registers company necessary documents shall be enclosed) ( )ResidentialAddressTel: [O][R]Fax/E-mail2 Details of Head of Unit, / Authorised signatory / Manager ( necessary documents shall beenclosed)\\ ( )ResidentialAddressTel: [O][R]Fax/E-mail4 Nature of of commencement of of member s of employer sfamilyemployed in the establishment,i

[FORM’A’] [See Rules 3(1), 3-A and 5] Combined Application for Registration/Renewal/Any change under Karnataka Shops and Commercial Establishments Act, 1961 and ...

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