DECLARATION FOR OWNING REFRIGERATOR

I, Sri/Smt. proprietor/partner of
M/s. do hereby declare that
I am owning a refrigerator of make of
liters capacity in good working condition and the same
will be used in the licensed premises for storage of drugs
requiring cold storage.
Place:
Date:

Signature & seal

DECLARATION OF PROPRIETORSHIP
(The declaration is required if affidavit is not given)
I, S/o, D/o or W/o
Aged

aboutyears,

residing

at

do

hereby solemnly declare that I am the sole proprietor/

proprietrix

of

M/s

situated

at

.
I further declare that, I will be entirely responsible for
the day-to-day conduct and business of my firm.

Place:
Date:

sign & seal