International Standards Certifications Pty Ltd,

A.C.N. 071 810

949

The Quality Centre, 16a Loyalty Road, North Rocks,

Sydney, NSW 2151, Australia

ISC File No.

R/91/017/004

DECLARATION OF INDEPENDENCE
I,
NAME... N. Bhattacharya.....................................................................................................
Signature.................................................................................................................................
declare that;
a) I have not been employed by the company shown below, either as a direct employee or as a
consultant, during the past two (2) years.
b) I have None / Some (delete as applicable) financial involvement or interest in respect of
the company shown below, on which it is proposed that I participate in a Quality System Audit
for the purpose of Registration:
COMPANY NAME

Ankit Enterprises

COMPANY ADDRESS: H 433 A, Road No. 12, V. K. I. Area, Jaipur 302 013.
Rajasthan, India.
Where you have answered Some in regard to financial involvement or financial interest in the
above company please state below the extent of your interests or if you would prefer not to
disclose please indicate decline to disclose. In accordance with the rules of Accreditation
and Certification, ISC will be unable to use your services where your interest are considered
by ISC to create a possible conflict of interest. ISC will assume a conflict of interest to be
present if you decline to disclose.
DECLARATION OF EXTENT OF INTEREST IN THE ABOVE COMPANY
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NAME....................................................................................................................................
FORM 09 DECLARE 1
ISS 1
REV 1
PAGE 1 OF 1

International Standards Certifications Pty Ltd,

949

A.C.N. 071 810

The Quality Centre, 16a Loyalty Road, North Rocks,

Sydney, NSW 2151, Australia

ISC File No.

R/91/017/004

Signature................................................................................................................................

FORM 09 DECLARE 1
ISS 1
REV 1
PAGE 2 OF 1