I __________ S/o. __________, Aged ___ years, Residing at ____________________ who is the __________ of M/s. __________, hereby give the following undertaking:

Entry Level :

1. Our Firm is proposing to set up a project at __________, __________ DISTRICT, to manufacture / to provide services as mentioned below:

2. We certify that the particulars furnished in the Combined Application Form are true, correct and complete to the best of our knowledge and undertake to adhere to the declarations made there under.

3. We hereby specifically confirm that we are fully aware of the Acts / Rules / Regulations of each department from which approvals/clearances are requested...

4. We also hereby categorically certify that in the event of our Firm failing to comply with the requirements / conditions...

5. We also certify that we take complete responsibility and liability against any losses...

6. We hereby certify that our proposed site / industry do not fall in any of the banned / restricted area...

7. We hereby certify that our proposed site complies with the citing guidelines of the TSPCB.

8. That the unit is not located in the vicinity of Oil/Gas Pipeline.

9. The site is not located within 500 mts distance from the boundary of Defence Area/ Military Airport.

10. The site is not falling within 30 mts from the Railway boundary line.

11. The site is not falling within 100 mts from Heritage Sites.