MSME / UDYAM SELF-DECLARATION
Self-declaration in support of registration as a Micro, Small or Medium Enterprise under the MSMED Act, 2006 read with the Udyam Registration notification.
I, [Name of Proprietor / Partner / Director], in my capacity as [Designation] of [Enterprise Name], having its place of business at [Full Address] and holding Udyam / PAN [Udyam or PAN Number], do hereby declare as under:
I declare that the enterprise is engaged in [Manufacturing / Service] activity, and that its investment in plant, machinery or equipment is Rs. [Investment Amount] and its annual turnover is Rs. [Turnover Amount] for the financial year [Financial Year]. Accordingly, the enterprise qualifies as a [Micro / Small / Medium] Enterprise. The figures are computed on a self-reliant basis from the Income-tax and GST returns filed.
The particulars furnished above are true and correct to the best of my knowledge and belief.
[Signature of Authorised Signatory]
[Name & Designation]
Place: [Place] Date: [DD/MM/YYYY]