FORM C

{See Rule 3(3)}

Government of Jammu & Kashmir Shops & Establishment Act

1966
REGISTRATION CERTIFICATE

Registration Number 9259650491

Name of the Establishment M/S SAIMA KARYANA STORE

Full postal address of the establishment SURANKOTE , SAMOTE

Nature of the business, trade or profession
carried on KARYANA SHOP
Name, Parentage and designation of the
Employer/ Manager/ Agent of any other
person in the immediate charge or control SAIMA KOUSER , S/o / D/o / W/o FAZAL HUSSAIN , OWNER
of the estbt.
Name and designation of other person(s)
having interest as employer in the
establishment if any with his address in the
state
Closing Day / Form O Sunday

Certificate that the Shops/establishment the particulars of which are given

Total Number of above has been registered under the Jammu & Kashmir Shops &
1 (Male - 0, Female - 1)
employes Establishment Act, 1966. The registration shall remain in force upto 31st
March 20 25

(This is an auto generated certificate and does not require seal and
signature)
Fees Paid Rs.450
Inspector Under Jammu & Kashmir Shops and Establishment Act,
1966

This is an auto generated certificate and does not require seal and
Date 24-Sep-2022
signature

TOTAL NUMBER OF EMPLOYEES

Date of Renewal Renewal Fee
Male Female Total

The Registration Certificate is issued for the purpose of regulating shops and establishments under J&K shop & Establishment
Act 1966 and in no case it shall be construed as a document valid for any other purpose like -
- Deciding title over the shop / establishment
- Getting loan from any banking or other financial institutions