Form A Under THE BOMBAY SHOPS & ESTABLISHMENTS ACT, 1948
I have attached Form A Under THE BOMBAY SHOPS & ESTABLISHMENTS ACT, 1948.
UNDERTAKING
From:
Name:
Address:
Date:
To,
The Municipal Commissioner,
Municipal Corporation of Greater Mumbai,
Mumbai-…………..
Sir,
I am enclosing herewith Form ‘A’ under the Bombay Shops and Establishment
Act, 1948 for registration of my establishment situated at above address.
I say that the information submitted by me in Form ‘A’ is true and correct and I Myself /my heirs /successors and assigns /partners /directors/ management shall be solely responsible for any action, claims, damages, demand of any nature of whatsoever kind which may be initiated and /or instituted and /or made against the Municipal Corporation of Greater Mumbai or its officers due to issue of the Registration of my establishment under the Bombay Shops and Establishment Act, 1948.
I agree that the Registration Certificate issued to me will not entitle me to claim any alternate commercial site in case of shifting or demolition by Municipal Corporation of Greater Mumbai.
Signature of Employer:
Name:
BRIHANMUMBAI MAHANAGARPALIKA
The Bombay Shops and Establishment Act. 1948
Form ‘A’
Ward …………..
[See Rule 5]
Application under Section 7(1)
1. Name of the establishment if any
2. Postal Address & situation of the establishment
3 .Whether establishment falls under public sector
or private sector (see note 4&5below)
4. Situation of office, store room, godown,
Warehouse of work place, if any attached to
Shop but situated in premises different from
Those of the shop.
5. Name of the employer
6. Residential address of employer ____________________________________
7. Name of manager if any, his residential address________________________________
8. Category of the establishment residential ____________________________________
Hotel, restaurant, eating house, theatre of
Other place of public amusement of
Entertainment.
9. Name of the Business. _____________________________________
10. Date of commencement of Business. ____________________________________
11. Name of the members of employer’s family
Employed in the establishment.
Adults Young Persons Total
Male ………………………………………………..
Female ………………………………………………..
Total ………………………………………………
Name of the other persons occupying position of
Management or employee engaged in confidential
Capacity (indicates sex and age in case of young person)
11. Total number of employees
Adults Young Persons Total
Male ………………………………………………….
Female ………………………………………………….
Total ………………………………………………….
Date:- ……….
Signature of Employer
Note:-
(1) This statement shall be sent to the inspector of the local area concerned with such
fees as prescribe in schedule I
(2) Item 4 should be filled only when the office, store-room etc is not separately
registered under the act in respect of such offices store-room ect., particulars
required under items 11, 12, and 13 should be given separately in this statement.
(3) If employer is more than one individual name and address of all individual concerned should be given in item 5& 6 separately.
(4) Establishment in public sector means an establishment owned, controlled or managed by
(i) The Government Or a Department of the Government.
(ii) A Government Company as defined in section 617 of the companies Act.1995
(1of 1996)
(iii) A Corporation (including Co-Operative Society ) establishment by or under a
Central – Provincial or State act, which is owned controlled Managed by the
Government.
(iv) A Local Authority.
(5) Establishment in private sector means a establishment which is not an establishment in public Sector.