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Est.ID: 11232499 7YM2INZYQ3GZ

SURAT MUNICIPAL CORPORATION

Gujarat Shops and Establishments (Regulation of Employment and Condition of
Service) Act, 2019
Form-E
(See rule 7)
INTIMATION RECEIPT
The applicant has intimated the following details for having commenced the Business in
Form-D to this office. The details thereof are as follows:-

1 Receipt Number :- IR / SAZ / C / VADOD / 80330

2 Application Id number :- 2024022100005

3 Name of the Establishment :- DCF,1DL V[gHLGLZL\U

MAHALXMI ENGINEERING
4 Total No. of Workers :- 1

5 a) Name of the Employer :- lA:JGFY lA:JF,

BISWANATH BISWAL
b) Postal Address of the :- %,M8 G\P$4U|FPO,MZ4DCFJLZ :DM, :S[, .g0P4V[:8[84J0MN4;]ZT#)$ZZ! J0MN
Establishment
PLOT NO-4, GROUND FLOOR, MAHAVIR SMALL IND.
ESTATE, VADOD, SURAT-394221 VADOD 394221
c) Registered Office Address of %,M8 G\P$4U|FPO,MZ4DCFJLZ :DM, :S[, .g0P4V[:8[84J0MN4;]ZT#)$ZZ! J0MN
:-
the Establishment (if any)
PLOT NO-4, GROUND FLOOR, MAHAVIR SMALL IND.
ESTATE, VADOD, SURAT-394221 VADOD 394221
6 This is just an acknowledgement of the intimation application and not a proof of existence of the business and the place of
business as mention in the Intimation application. It shall be the responsibility of the employer to obtain all the prior and post
permission, permit, licenses mandatory for the conduct of the said business and for the place of business from the concerned
authority.
7 Nature of Business :- 8LV[OVM DXLG V[;[dA,L\U V[g0 ZL5[ZL\U
TFO MACHINE ASSEMBLING AND REPAIRING
8 Old Registration No. and Date, :-
if applicable

(Note:- This is an electronically generated receipt, hence does not required signature.)

Date: 24/02/2024 Office Address

Shops & Establishment Department
Place: Surat South Zone Vahivati Bhavan,
Udhana Main Road, Opp. Satya
Nagar, Udhan, Surat