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JOLI VISAGE

I YASEENKHAN, Proprietor of JOLI VISAGE do hereby declare that below signed specimen
signature is the authenticate signature as signed by me for the registration of my establishment under the
“Karnataka Shops and Establishments Act, 1961”.

Also, I do hereby declare that there is no Child Labour engaged in our establishment to work
for our establishment and I fully understand that the signature furnished above will be used as my
authenticate signature for the registration purpose of my establishment and hence any incorrectness/false
information, I would be liable for penalties under the “Karnataka Shops and Establishments Act, 1961”.

Signature

YASEENKHAN

Place: Bangalore

Date:22/10/2018

No.30, “RCR Arcade”, 1st Floor, Chokkanahalli, Hegde Nagar Main Road, Bengaluru – 560 064.
Mobile No : 9141317575

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