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package of incentives and concessions under karnataka ...

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I hereby solemnly affirm that the information given above is correct. In case above declaration isfound wrong or incorrect or misleading, I do hereby bind myself & my unit <strong>and</strong> <strong>under</strong>take to pay to theGovernmenton dem<strong>and</strong> the full amount received as reimbursement in respect <strong>of</strong> above mentioned activity,within seven days <strong>of</strong> the dem<strong>and</strong> being made to me in writing.Place:Date:Note* Strike out whichever is not applicable.DEPONENT(Affidavit must be on Stamp Paper <strong>of</strong> Value <strong>of</strong> Rs.20/- duly sworn in before a Public Notary (Dulyaffixed with Notary Stamp, Notary Seal <strong>and</strong> Notary Registration number) or First Class Magistrate.)128

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