Shops & Establishment Dept.

As per the Bombay shops and establishment Act, 1948, it is compulsory for every establishment to
register with the Shop and Establishment Department of the Municipal Corporation within a period of
____ days from starting their operations. This Act provides various controls over shops and
commercial establishments including health, safety, working hours, payments, leave and holidays of
the employees of such establishment.

Initial Registration

How to apply : Download Application Form

For initial registration of an establishment, following documents are required.

1. Form ‘A’ & form ‘D’.

2. Rubber Stamps.
A. Rubber Stamp with name & address of the establishment.
B. Rubber Stamp required for signature of partner/proprietor.
3. Proof of business- Xerox of the first purchase bill.- Xerox copy of the sales bill.
4. Xerox copy of the paid bill of the latest municipal tax & a copy of receipt.
5. If the name doesn’t appear in the tax bill, an application to include it should be made to the
assessment branch of VMC & its Xerox copy should be attached.
6. Those units which are engaged in sale of milk or milk products, cold drinks, eatables etc. have to
produce a copy of an NOC from the health Dept. (Hostels, Lodges, Petrol Pumps, Cinema houses
etc. included)
For making changes: -
1 Form – ‘E’
2 Purchase & sale bills as a proof of charge in business.
3 Required rubber stamps.
4 Notarized stamp agreement in case of partnership OR proof of termination of partnership, if any.
5 Receipt of the latest paid tax bill.

Requirement for Application

(1) Fee of Rs. 60 in cash / DD in favour of Municipal Commissioner, Municipal Corporation Vadodara,
payable at Vadodara.
(2) Rubber-stamp of the establishment.
(3) Rubber-stamp of the applicant’s signature.
(4) Proof of business in the way by producing a bill of initial purchase and / or initial sale.
(5) Proof of occupation of premises, if the owner of the establishment is owner of the premises then
he has to produce a Photostat copy of last tax paid bill. If the premise of establishment is on rent, then
the copy of the application made to the assessment department to insert the name as tenant. If the
premise of establishment is purchased then the copy of sale deed is submitted.
(6) If the business has health implication, i.e. food eating-houses, attach a copy of health license.

Process:
Site inspection by an officer of VMC within seven days. A certificate of registration is usually issued
within 15 days.

Communication:
If no information about acceptance / rejection of the application is received within 15 days, please
contact __________________.

Initial period of Registration:

Regardless of the date of issue, the initial registration is valid up to 31st December of the year in
which registration takes place, to be renewed each year

Renewal of Registration:
Application for renewal should be made in ‘Form – D’. Other requirements are the same as for initial
registration.

Period of Renewal:
The registration may be renewed for the maximum period of 3 years. It is to be renewed again.

Notice of Change:
For any and every change during the registration period, please give notice in ‘Form – E’ with the
prescribed fee of Rs. 2 in cash / DD drawn in favour of Municipal Commissioner, payable at
Vadodara.
 Statement under section 7(6) [See Rule 7]
õÅÛ¾Û 7(6) Ðéü¥øǶÛä× ÜÈÛÈÛÁõ¨Û ¸ÛªÛõ [›ä÷…Ûé õÛ¶Ûä¶Û 7]

FORM “ D ”
¶Û¾Ûä¶ÛÛé “ ¦øà ”

1. Name of the establishment

:
ÍÛ×ͬÛÛ¶Ûä× ›÷Ûé ¶ÛÛ¾Û ÐüÛé¿Û ©ÛÛé
2. Postal address and situation of the
establishment :
ÍÛ×ͬÛÛ¶Ûà ¤ø¸ÛÛÅÛ¶Ûä× ÍÛÁõ¶ÛÛ¾Ûä× …¶Ûé ͬÛǶÛà ÜÈÛ•Û©Û
3. Situation of office, storeroom, godown,
warehouse, or workplace if any, attached to a
shop but situated in premises different from
those of the shop. :
−äùõÛ¶Û ÍÛÛ¬Ûé ›÷Ûé¦øÛ¿ÛéÅÛ ¸Û¨Û −äùõÛ¶Û¶ÛÛ Í¬ÛǬÛà …ÅÛ•Û Í¬ÛÇé
…ÛÈÛéÅÛ õ˜ÛéÁõà-ͤøÛéÁõÄõ¾Û-•ÛÛé−ùÛ¾Û-ÈÛ”ÛÛÁõ éõ õÛ¾Û¶Ûä× Í¬ÛÇ
ÐüÛé¿Û ©ÛÛé ©Ûé ͬÛÇ …וÛé¶Ûà ÜÈÛ•Û©Û.
4. Name of the employer
:
¾ÛÛÜÅې¶Ûä× ¶ÛÛ¾Û
5. Residential address of the employer
:
¾ÛÛÜÅېõ¶ÛÛ ÁõÐéü¥øÛ¨Û¶ÛÛ Í¬ÛǶÛä× ÍÛÁõ¶ÛÛ¾Ûä×.
6. Name of the Manager if any, and his
residential address. :
›÷Ûé ÐüÛé¿Û ©ÛÛé È¿ÛÈÛͬÛ۸ېõ¶Ûä× ¶ÛÛ¾Û …¶Ûé ÁõÐéü¥øÛ¨Û¶Ûä× ÍÛÁõ¶ÛÛ¾Ûä×.
7. Category of the establishment i.e. whether
shop, commercial establishment, residential
hotel, restaurant, eating house, theatre or
other place of public amusement or
entertainment. :
ÍÛ×ͬÛÛ¶ÛÛé ¸ÛóõÛÁõ …é¤øÅÛé éõ −äùõÛ¶Û, ÈÛé¸ÛÛÁõà ÍÛ×ͬÛÛ, ÁõÐéüÈÛÛ¶Ûà
ÍÛ•ÛÈÛ¦ø µÛÁõÛÈÛ©Ûà ÐüÛé¤øÅÛ, ÁéõͤøÛéÁõÛ×, ½ÛÛé›÷¶ÛÛÅÛ¿Û, ¬Ûà…é¤øÁõ
…¬ÛÈÛÛ …Û¶Û×−ù ¸Ûó¾ÛÛé−ù éõ ¾Û¶ÛÛéÁ×õ›÷¶Û ¾ÛÛ¤éø¶Ûä× …¶¿Û ›÷ÛÐéüÁõ
ͬÛÇ ™öé éõ éõ¾Û?
8. Nature of business
:
õ۾ېõÛ›÷¶ÛÛé ¸ÛóõÛÁõ
9. Date of commencement of business
:
µÛ×µÛÛé ÉÛÄõ õ¿ÛÛÙ¶Ûà ©ÛÛÁõà”Û
10. Name of members of business family
employed in the establishment
Adult men ________
Adult women ______
Young persons _______
Total _______
:
ÍÛ×ͬÛÛ ¾ÛÛÜÅېõ¶ÛÛ ¸ÛÛé©ÛÛ¶ÛÛ äõ¤ä×ø¼Ûà›÷¶ÛÛé ÍÛ×ͬÛÛ¾ÛÛ× ¶ÛÛéõÁõà…é
ÁõÛ”ÛÈÛÛ¾ÛÛ× …ÛÈ¿ÛÛ ÐüÛé¿Û ©ÛÛé ©Ûé¾Û¶ÛÛ ¶ÛÛ¾ÛÛé
¸Ûä”©Û ÈÛ¿Û¶ÛÛ ¸ÛäÂúÌÛ ________
¸Ûä”©Û ÈÛ¿Û¶Ûà ͪÛà…Ûé _______
¶ÛÛ¶Ûà ÈÛ¿Û¶ÛÛ× ________
äõÅÛ _________
11. Name of other persons occupying position of
Management or Employees engaged in
confidential capacity (indicate sex and age in
case of young persons).
:
È¿ÛÈÛͬÛÛ ©Ûת۾ÛÛ× ÐüÛé°ùÛé µÛÁõÛÈÛ©Ûà …¶¿Û È¿Û܏©Û …¬ÛÈÛÛ
ÜÈÛÊÈÛÛÍÛ¸ÛÛªÛ È¿Û܏©Û…Ûé¶ÛÛ ©ÛÁõàéõ õÛ¾Û¾ÛÛ× Áõ”ÛÛ¿ÛéÅÛà
È¿Û܏©Û…Ûé¶ÛÛ ¶ÛÛ¾Û (¶ÛÛ¶Ûà ÈÛ¿Û¶ÛÛ È¿Û܏©Û…Ûé¶Ûà ¼ÛÛ¼Û©Û¾ÛÛ×
›÷ÛÜ©Û …¶Ûé ÈÛ¿Û −ùÉÛÛÙÈÛÈÛà)
12. Total number of employees:
Adult men _______
Adult women ______
Young persons ______
Total ______
:
¶ÛÛéõÁõà¿ÛÛ©ÛÛé¶Ûà äõÅÛ ÍÛ×”¿ÛÛ:
¸Ûä”©Û ÈÛ¿Û¶ÛÛ ¸ÛäÂúÌÛ _______
¸Ûä”©Û ÈÛ¿Û¶Ûà ͪÛà…Ûé ______
¶ÛÛ¶Ûà ÈÛ¿Û¶ÛÛ× _______
äõÅÛ _________
13. Registration No. and Date
:
¶ÛÛêµÛ¨Ûà ¶Û×¼ÛÁõ …¶Ûé ©ÛÛÁõà”Û
14. Date of last renewal
:
™öéÅÅÛà ©ÛÛœ÷ õÁõÛÈ¿ÛÛ¶Ûà ©ÛÛÁõà”Û
Date Signature of the Employer
©ÛÛÁõà”Û ¾ÛÛÜÅېõ¶Ûà ÍÛÐüà
Note:-
1. This statement shall be sent to the Inspector of the local area concerned with such face
as are prescribed schedule.
2. Item 3 should be filled only when the office, storeroom, etc. is not separately
registered under the Act, in respect of such office, storeroom, etc. particulars are
required under 10, 11 & 12 should be given separately in this statement.
3. The Original Certificate in C shall be enclosed.
4. If the number of employers is more than one, then names and residential address of all
employers shall be given in items 4 & 5 respectively.
1. …¶ÛäÍÛæ˜Ûà [2] ¾ÛÛ× ¥øÁõÛÈÛéÅÛà ºõà ÍÛÛ¬Ûé ÅÛÛ•Û©ÛÛ ÈÛÇ•Û©ÛÛ ÜÈÛÍ©ÛÛÁõ¶ÛÛ Ü¶ÛÜÁõ“ېõ¶Ûé ÜÈÛÈÛÁõ¨Û ¸ÛªÛ ¾ÛÛéõÅÛÈÛä×.
2. õ˜ÛéÁõà, ͤøÛéÁõÄõ¾Û ÜÈÛ•ÛéÁéõ¶Ûà …Û Ü¶Û¿Û¾Û¶Ûà Ðéü¥øÇ …ÅÛ•Û Áõà©Ûé ¶ÛÛêµÛ¨Ûà ¶Û õÁõÛ† ÐüÛé¿Û ©¿ÛÛÁéõ ¼ÛÛ¼Û©Û 3 ½ÛÁõÈÛà. …Û
õ˜ÛéÁõà¾ÛÛ× Í¤øÛéÁõÄõ¾Û ÜÈÛ•ÛéÁéõ …וÛé ¼ÛÛ¼Û©Û 10, 11 …¶Ûé 12 Ðéü¥øÇ …Û¸ÛÈÛÛ¶Ûà ¬Û©Ûà ÜÈÛ•Û©ÛÛé …Û ÜÈÛÈÛÁõ¨Û ¸ÛªÛõ¾ÛÛ×
…ÅÛ•Û …Û¸ÛÈÛà.
3. ¶Û¾Ûä¶ÛÛé “ ÍÛà ” ¾Ûä›÷¼Û¶Ûä× ¸Ûó¾ÛÛ¨Û¸ÛªÛ ÍÛÛ¬Ûé ¼Ûà¦øÈÛä×.
4. ›÷Ûé ¾ÛÛÜÅېõÛé¶Ûà ÍÛ×”¿ÛÛ …éõ¬Ûà ÈÛµÛÛÁéõ ÐüÛé¿Û ©ÛÛé ¾ÛÛÜÅېõÛé¶ÛÛ ¶ÛÛ¾ÛÛé …¶Ûé ÍÛÁõ¶ÛÛ¾ÛÛ …¶Ûä. ¶Û×.4 …¶Ûé ¸Û ¾ÛÛ× −ùÉÛÛÙÈÛÈÛÛ.
›ä÷…Ûé õÛéÅÛ¾Û 18 (1)
¸ÛóÜ©Û,
¼ÛÛé¾¼Ûé ÉÛÛ鸡ö …鶦ø …éͤøÛ¼ÅÛàÉÛ¾Û鶤ø 1948 …¶ÈÛ¿Ûé¶ÛÛ †¶Í¸Û鏤øÁõ
1. ¾ÛÛÜÅېõ¶Ûä× ¶ÛÛ¾Û: ________________________________________________.
2. ÍÛ×ͬÛÛ¶Ûä× ¶ÛÛ¾Û ›÷Ûé ÐüÛé¿Û ©ÛÛé: ________________________________________________.
3. ÍÛ×ͬÛÛ¶Ûä× ¤ø¸ÛÛÅÛ¶Ûä× ÍÛÁõ¶ÛÛ¾Ûä×: ________________________________________________.
4. Áõœ÷ͤøÁõ ÍÛ¤øâºõàéõ¤ø ¶Û×¼ÛÁõ: ________________________________________________.
5. µÛ×µÛÛ¶ÛÛé ¸ÛóõÛÁõ: ________________________________________________.

…¾ÛÛé …¾ÛÛÁõà Š¸ÛÁõ ›÷¨ÛÛÈÛéÅÛà ÍÛ×ͬÛÛ / ¸Ûé§øà ˜ÛÛÅÛä ÍÛÛÅÛé ____________________ ¬Ûà ÉÛÄõ ¬Û©ÛÛ× ÈÛÌÛÙ¾ÛÛ× ©ÛÛÁõà”Û
____________ ¬Ûà ©ÛÛÁõà”Û ____________ ÍÛäµÛà −ùÁéõõ ______________ ÈÛÛÁõ¶ÛÛ ÁõÛé›÷ ¼Û×µÛ ÁõÛ”Ûà …¥øÈÛÛܦøõ
Áõ›÷Û ¸ÛÛÇàÉÛä× ©Ûé¶Ûà ¶ÛÛêµÛ ÅÛéÉÛÛéœ÷.

©ÛÛ. ____________ ¾ÛÛÐéü ____________ ÈÛÌÛÙ ____________ ¾ÛÛÜÅېõ / ¾Ûé¶Ûé›÷Áõ¶Ûà ÍÛÐüà

 The Bombay Shops and Establishment Act 1948 (as amended in 1956)
µÛà ¼ÛÛé¾¼Ûé ÉÛÛ鸡ö …鶦ø …éͤøÛ¼ÅÛàÉÛ¾Û鶤ø …鏤ø 1948 (1956 ¶ÛÛ ÍÛäµÛÛÁõÛ ¾Ûä›÷¼Û)

FORM “ A ”

ºõÛé¾ÛÙ “ …é ”
Statement under section 7(1) [See Rule 5]
õÅÛ¾Û 7(1) Ðéü¥øÇ ¶Ûà˜Ûé¶Ûä× Í¤éø¤ø¾Û鶤ø [›ä÷…Ûé õÛ¶Ûä¶Û 5]

1. Name of the establishment if any,

:
ÍÛ×ͬÛÛ …•ÛÁõ ¸Ûé§øà¶Ûä× ¶ÛÛ¾Û (›÷Ûé ÁõÛ”¿Ûä× ÐüÛé¿Û ©ÛÛé)
2. Postal address and situation of the
establishment :
ÍÛ×ͬÛÛ (¸Ûé§øà) ¶Ûà ›÷•¿ÛÛ¶Ûä× Í¬ÛÇ ©Û¬ÛÛ ¤ø¸ÛÛÅÛ¶Ûä× ÍÛÁõ¶ÛÛ¾Ûä×.
3. Situation of office, storeroom, godown,
warehouse, or workplace if any, attached to a
shop but situated in premises different from
those of the shop.
:
−äùõÛ¶Û …וÛé¶Ûà …ÛéºõàÍÛ, ͤøÛéÁõÄõ¾Û, •ÛÛé¦øÛŠ¶Û (ÈÛ”ÛÛÁõ),
ÈÛéÁõÐüÛŠÍÛ …¬ÛÈÛÛ õÛ¾Û õÁõÈÛÛ¶Ûà ›÷•¿ÛÛ¶Ûä× ¥éøõÛ¨Ûä× ›÷Ûé ¾ÛæÇ /
−äùõÛ¶Û¬Ûà ›ä÷−ùà ›÷•¿ÛÛ…é (¸Ûóà¾ÛÛ†ÍÛàÍÛ¾ÛÛ×) …ÛÈÛéÅÛÛ ÐüÛé¿Û
©ÛÛé.
4. Name of the employer
:
õÛ¾Ûé ÁõÛ”Û¶ÛÛÁõ (¾ÛÛÜÅېõ) ¶Ûä× ¶ÛÛ¾Û
5. Residential address of the employer
:
õÛ¾Ûé ÁõÛ”Û¶ÛÛÁõ (¾ÛÛÜÅېõ) ¶Ûä× ÁõÐéüÈÛÛ¶Ûä× ÍÛÁõ¶ÛÛ¾Ûä×
6. Name of the Manager if any, and his
residential address. :
¾Ûé¶Ûé›÷Áõ¶Ûä× ¶ÛÛ¾Û ›÷Ûé ÐüÛé¿Û ©ÛÛé …¶Ûé ©Ûé¶Ûä× ÁõÐéüÈÛÛ¶Ûä× ÍÛÁõ¶ÛÛ¾Ûä×.
7. Category of the establishment i.e. whether
shop, commercial establishment, residential
hotel, restaurant, eating house, theatre or
other place of public amusement or
entertainment. :
ÍÛ×ͬÛÛ¶ÛÛé ¸ÛóõÛÁõ, −äùõÛ¶Û, ÈÛé¸ÛÛÁõà ¸Ûé§øà, ÁõÐéüÈÛÛ ÍÛäÈÛÛ¶Ûà
ÍÛ•ÛÈÛ¦ø©ÛÛÈÛÛÇà ÐüÛé¤øÅÛ, ÁéõͤøÛÁé õ¶¤ø, ½ÛÛé›÷¶Û•ÛèÐü, ¬Ûà…é¤øÁõ
…¬ÛÈÛÛ õÛé†¸Û¨Û ÍÛÛÈÛÙ›÷ܶېõ ¾Û¶ÛÛéÁ×õ›÷¶Û …¬ÛÈÛÛ ”ÛÛ¶Û-
¸ÛÛ¶Û¶Ûà ›÷•¿ÛÛ
8. Name of the business
:
µÛ×µÛÛ¶ÛÛé ¸ÛóõÛÁõ (µÛ×µÛÛ¶Ûä× ÈÛ¨ÛÙ¶Û)
9. Date of commencement of business
:
µÛ×µÛÛé ÉÛÄõ õ¿ÛÛÙ¶Ûà ©ÛÛÁõà”Û
10. Name of the members of employer’s family
employed in the establishment
ÍÛ×ͬÛÛ¾ÛÛ× õÛ¾Û õÁõ©ÛÛ õÛ¾Ûé ÁõÛ”Û¶ÛÛÁõ (¾ÛÛÜÅېõ) ¶ÛÛ äõ¤ä×ø¼Û¶ÛÛ
ÍÛ½¿ÛÛé¶ÛÛ ¶ÛÛ¾Û
Adults Men ¸ÛäÂúÌÛ :
¸Ûä”©Û Š¾ÛÁõ Women ͪÛà…Ûé
Young persons ¶ÛÛ¶Ûà ‹¾ÛÁõ¶ÛÛ ¾ÛÛ¨ÛÍÛÛé
Total äõÅÛ
11. Name of other persons occupying position of
Management or Employees engaged in
confidential capacity (indicate sex and age in
case of young persons). :
ÈÛÜÐüÈÛ¤ø õÁõ¶ÛÛÁõ¶ÛÛé ÐüÛé°ùÛé µÛÁõÛÈÛ©ÛÛ …¬ÛÈÛÛ ”ÛÛ¶Û•Ûà
¸ÛóõÛÁõ¶ÛÛ õÛ¾Û¾ÛÛ× ÁõÛéõÛ¿ÛéÅÛÛ ¼Ûà›÷Û õÛ¾Û õÁõ¶ÛÛÁõ¶ÛÛ ¶ÛÛ¾Û
(¶ÛÛ¶ÛÛ ÉÛ”ÍÛÛé ¾ÛÛ¤éø ‹¾ÛÁõ ©Û¬ÛÛ ›÷ÛÜ©Û ›÷¨ÛÛÈÛÛé)
12. Total number of employees
õÛ¾Û õÁõ¶ÛÛÁõ (•Ûä¾ÛÛÍ©ÛÛ) ¶Ûà äõÅÛ ÍÛ×”¿ÛÛ
Adults Men ¸ÛäÂúÌÛ
:
¸Ûä”©Û Š¾ÛÁõ Women ͪÛà…Ûé
Young persons ¶ÛÛ¶Ûà ‹¾ÛÁõ¶ÛÛ ¾ÛÛ¨ÛÍÛÛé
Total äõÅÛ
Date Signature of the Employer
©ÛÛÁõà”Û ¾ÛÛÜÅېõ¶Ûà ÍÛÐüà
Note:-
1. This statement shall be sent to the Inspector of the local area concerned with such fees
as are prescribed in schedule.
2. Item 3 should be filled only when the office, storeroom, etc. is not separately
registered under the Act, in respect of such office, storeroom, etc. particulars are
required under 10, 11 & 12 should be given separately in this statement.
1. …Û Í¤éø¤ø¾Û鶤ø ¸ÛÜÁõÜÉṲ̂ø 1 ¾ÛÛ× −ùÉÛÛíÈÛéÅÛà ºõà ÍÛÛ¬Ûé …Û …וÛé¶ÛÛ Í¬ÛÛܶېõ (•Ûä¾ÛÛÍ©ÛÛ µÛÛÁõÛ …וÛé¶ÛÛ) …ܵېõÛÁõà¶Ûé
¾ÛÛéõÅÛÈÛä×.
2. …Û†¤ø¾Û ¶Û×¼ÛÁõ 3 ÍÛÛ¾Ûé¶ÛÛ ÜÈÛ•Û©Û …ÛéºõàÍÛÛé, ͤøÛéÁõÄõ¾Û, ÜÈÛ•ÛéÁéõ ›ä÷−ùÛ Áõœ÷ͤøÁõ ¶Û õÁõÛÈ¿ÛÛ ÐüÛé¿Û ©ÛÛé ›÷ ½ÛÁõÈÛÛ¶Ûà
™öé. …ÛÈÛà …ÛéºõàÍÛÛé, ͤøÛéÁõÄõ¾ÛÛé, ÜÈÛ•ÛéÁéõ ¾ÛÛ¤éø …Û†¤ø¾Û ¶Û×¼ÛÁõ 10, 11 …¶Ûé 12 ÍÛÛ¾Ûé¶Ûà ¾ÛÛÜÐü©Ûà …Û
ͤéø¤ø¾Û鶤ø¾ÛÛ× ›ä÷−ùà …Û¸ÛÈÛà.
›ä÷…Ûé õÛéÅÛ¾Û 18 (1)
¸ÛóÜ©Û,
¼ÛÛé¾¼Ûé ÉÛÛ鸡ö …鶦ø …éͤøÛ¼ÅÛàÉÛ¾Û鶤ø 1948 …¶ÈÛ¿Ûé¶ÛÛ †¶Í¸Û鏤øÁõ
1. ¾ÛÛÜÅېõ¶Ûä× ¶ÛÛ¾Û: ________________________________________________.
2. ÍÛ×ͬÛÛ¶Ûä× ¶ÛÛ¾Û ›÷Ûé ÐüÛé¿Û ©ÛÛé: ________________________________________________.
3. ÍÛ×ͬÛÛ¶Ûä× ¤ø¸ÛÛÅÛ¶Ûä× ÍÛÁõ¶ÛÛ¾Ûä×: ________________________________________________.
4. Áõœ÷ͤøÁõ ÍÛ¤øâºõàéõ¤ø ¶Û×¼ÛÁõ: ________________________________________________.
5. µÛ×µÛÛ¶ÛÛé ¸ÛóõÛÁõ: ________________________________________________.

…¾ÛÛé …¾ÛÛÁõà Š¸ÛÁõ ›÷¨ÛÛÈÛéÅÛà ÍÛ×ͬÛÛ / ¸Ûé§øà ˜ÛÛÅÛä ÍÛÛÅÛé ____________________ ¬Ûà ÉÛÄõ ¬Û©ÛÛ× ÈÛÌÛÙ¾ÛÛ× ©ÛÛÁõà”Û
____________ ¬Ûà ©ÛÛÁõà”Û ____________ ÍÛäµÛà −ùÁéõõ ______________ ÈÛÛÁõ¶ÛÛ ÁõÛé›÷ ¼Û×µÛ ÁõÛ”Ûà …¥øÈÛÛܦøõ
Áõ›÷Û ¸ÛÛÇàÉÛä× ©Ûé¶Ûà ¶ÛÛêµÛ ÅÛéÉÛÛéœ÷.

©ÛÛ. ____________ ¾ÛÛÐéü ____________ ÈÛÌÛÙ ____________ ¾ÛÛÜÅېõ / ¾Ûé¶Ûé›÷Áõ¶Ûà ÍÛÐüà

 The Bombay Shops and Establishment Act 1948
µÛà ¼ÛÛé¾¼Ûé ÉÛÛ鸡ö …鶦ø …éͤøÛ¼ÅÛàÉÛ¾Û鶤ø …鏤ø 1948
ÄõÅÛ ¶Û×. 10
FORM “ E ”

ºõÛé¾ÛÙ “ † ”

Notice of Change ºéõÁõºõÛÁõ …וÛé¶Ûà ¶ÛÛé¤øàÍÛ

Name of the establishment already Regd.

Or Name of the employer :
¶ÛÛêµÛÛ† ˜ÛæéõÅÛà ÍÛ×ͬÛÛ¶Ûä× ¶ÛÛ¾Û …¬ÛÈÛÛ ¾ÛÛÜÅېõ¶Ûä× ¶ÛÛ¾Û
Registration Certificate No.
:
¶ÛÛêµÛ¨Ûà¶ÛÛé ¸Ûó¾ÛÛ¨Û¸ÛªÛ ¶Û×¼ÛÁõ

Address Date Month Year

ÍÛÁõ¶ÛÛ¾Ûä× ©ÛÛÁõà”Û ¾ÛÛÐéü ÈÛÌÛÙ

To,
¸ÛóÜ©Û,
The Inspector under the Bombay Shops and Establishment Act, 1948.
µÛà ¼ÛÛé¾¼Ûé ÉÛÛé¸ÍÛ …鶦ø …éͤøÛ¼ÅÛàÉÛ¾Û鶤ø …鏤ø, 1948 …¶ÈÛ¿Ûé¶ÛÛ †¶Í¸Û鏤øÁõ ÍÛÛÐéü¼Û ›÷Ûé•Û

Notice is hereby given the following change has taken place in respect of information
forwarded to you ‘A’ and ‘D’ which place to te.
…Û¬Ûà ¶ÛÛé¤øàÍÛ …Û¸ÛÈÛÛ¾ÛÛ× …ÛÈÛé ™öé éõ, ¶Û¾Ûä¶ÛÛ ‘…é’ …¶Ûé ‘¦øà’ ¾ÛÛ× …Û¸Û¶Ûé ¾ÛÛéõÅÛÛÈÛéÅÛà ÜÈÛö•Û©ÛÛé¾ÛÛ× ¶Ûà˜Ûé¶ÛÛé
ºéõÁõºõÛÁõ ¬Û¿ÛÛé ™öé.

¾ÛÛÜÅېõ¶Ûà ÍÛÐüà

This Form should be sent with such fees as are prescribed Schedule III
…Û ºõÛé¾ÛÙ ¸ÛÜÁõÜÉṲ̂ø 3 ¾ÛÛ× ›÷¨ÛÛÈÛéÅÛà ºõà ÍÛÛ¬Ûé ¾ÛÛéõÅÛà …Û¸ÛÈÛä×