You are on page 1of 1

Format for Declaration *

DECLARATION

1) I have carefully read the Guidelines and Consumer Welfare Fund Rules;
2) I declare that all information / facts / figures provided by me are true;
3) I certify that our organisation has not been blacklisted by any Government Department;
4) The project activity / infrastructure does not have duplicate financing (financed by more
than one government agency);
5) I have gone through all mandatory requirements mentioned under Guidelines and Rule - ..............
of Consumer Welfare Fund.
6) I am aware and agree that for Non-compliance of any requirement under Rules/
Guidelines, my proposal shall be summarily rejected.
7) I undertake to abide by the decision of the Government.

Place: Signature

Date:

* This format be filled, signed and scanned in PDF format and uploaded while submitting the
form online

You might also like