Declaration
Form
Performa of Declaration for non-receipt of
Assessee No. of Business Premises
License Officer,
License Department,
Kolkata Municipal Corporation,
5, S.N. Banerjee Road,
Kolkata 700 013.
Date
Sub: Certificate of enlistment in unassessed premises
within Ward No
..
Sir,
I/We/Messrs,
as Owner/Partners/Director(s),
carrying a business as
in unassessed premises, hereby declare and consent to
the following subject.I/We will not object if the KMC
authority withdraw/cancel/change my/our certificate
of enlistment due to some legal complexities arising
during assessment of the business premises.
Thanking you,
Yours truly,
.
Signature with Date
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