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Undertaking Cum lndemnity Bond

TWe MAKVAL VELLA SAMY aged about 4 years, an

Indian inhabitant, the Owner Proprietor, The Chairman The Secretary, authorized
signatory of the firm/ organisationM/s. _SUN WELPARE ASsouATIO mARa havinug
his/ her / its address/ offee address at AALETMI COLod UPT O N A e CHOR C

ChoeCeON CR n 36 do hereby state on Solemn affirmation as under:

(2) 1 We am are holding the Registration No.F46go for the

organisation.

(3) 1/We state that I/ We have applied for permission ofthe said festival/ program at
ARETCoLo7uT no .(herein after referred to as "the said premises").

(4) 1/We state that1/We have gone through the codified fire safety requirements of
Mumbai Fire Brigade on MCGM portal to be complied in respect of the above said
program & using temporary structure and I / We hereby declare that all the fire
safety measures are I will be complied ali the time by me us. I/ We shall not
indulge into any activity which may cause firel heaith hazard and against the
provisions of law.

(5) / We say and undertake that the electrical fittings / fixtures installed in the premises
are as per The Electricity Act, 2003 and the Rules, from Govt. approved Electrical

Inspector.

(6) 1/We say and undertake that as per the provisions of Section 3(3) of The
Maharashtra Fire Prevention and Life Safety Measures Act, 2006 and Rule 4(1)
Rule 1(2) of the Maharashtra Fire Prevention and Life Safety Measures Rules
2009, fire safety measures will be provided on the said premises & will be
maintained in good working order.

(7) I/ We say and undertake that, if it is revealed that the codified requirements of
Mumbai Fire Brigade/ requirement as per Maharashtra Fire Prevention and Life
Safety Measure Act, 2006 and any competant MunicipalAuthority are not complied
by me/ us and also any unauthorised construction is/ are found carried out by me
t h a n the AMnCM ohall ha at liharh to euenandl raunva tha afnraeaid nermiecinn
with immediate effect.

/We hereby Indemnify the McGM from and against all actions, acts, costs, claims
(8)
nature and kind whatsoever, which may be
damages, demands of any
instituted, claimed or made against the MCGM, its officers, servants and agents
and the Municipal Commissioner for MCGM by any person or persons, any

third party or legal entity by reasons ofthe MCGM having granted to me/ us the

per Mumbai Municipal Corporation Act, 1888.


said permission as

1/We are aware and accept that I /We shall be liable to civil as well as criminal
(9)
prosecution in the event information submitted by me / us are found to be false

and/ or incorrect and permission feel deposit amountif any paid by me / usshall

beforfeited.
(10) 1/We say and undertake that the undertaking is binding on me / us/ Chairman/
Secretary/Managing Committee members who are responsible for the acts

done by the firm/organisation from time to time.

W e aAKRALT NGLLA
s tSAMZ.
a t e on solemn affirmation that whatever stated
herein above is true to my/ our own knowledge and I/We believe the same to be true and
correct.

Plaas

Name and Signature of Applicant

Name and Signature of Secretary

emaéluki
Name and Signature of Chairman

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