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Signature declaration form 2026

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The document outlines a Signature Declaration Format for proprietors or authorized personnel of an establishment to authenticate their signatures for registration, renewal, or amendment under the Karnataka Shops and Establishments Act, 1961. It includes a declaration against child labor and states that any false information may lead to penalties.

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Click ‘Get Form’ to open the signature declaration form in the editor.
Begin by filling in your name and title (Proprietor/MD/MP/COO/CEO) at the top of the form. This identifies you as the authorized signatory.
Next, enter the name of your establishment where indicated. This is crucial for linking your declaration to your business.
Provide your specimen signature in the designated area. Ensure it matches your official signature for authenticity.
Confirm that no child labor is engaged in your establishment by checking the appropriate box or including a statement if required.
Sign and print your name in block letters at the bottom of the form, along with the place and date of signing.
If authorizing another individual, repeat steps 2-6 for their details, ensuring their specimen signature is included as well.

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Versions	Form popularity	Fillable & printable
2012	4.4 Satisfied (51 Votes)

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