Affidavit Form Template Format in Word for Testing & Certification

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Affidavit form for Testing & Certification

of proto-Type Sample of PPE Body Coveralls for COVID-19

 

 

1. Name of the Manufacturing company/Organisation  :   STABNET CREATIONS PRIVATE LIMITED               

 

2. Corporate  Address                                                     :   115, Zamrudpur, Kailash Colony, Community Centre,                   .                                                                          South Delhi, Delhi - 110001

 

3. Name of Head of Company/Organisation                   :  Sachin Singh

 

4.(A) Contact Number                                                     :  9876543210

 

   (B) Offical e-mail id                                                     :  sachin.singh@stabnet.org

 

5. (A). Company Registration Number                           :  CIN - U92412WB2014PTC123456

    /MSME udyog adhar number / DIC                                 MSME Adhar -  DL08C0012345

  registration number (whichever applicable)

 

B) GSTIN Number                                                           : 08AAJCM9550J1Z8

 

6. Name and Address of the Manufacturing Unit/Units for PPE Body coverall :   STABNET Creations  Private Limited, c/o Sachin Traders Pvt Ltd, Plot no.SP-152, PPIOS Industrial Area Neemrana, NH-88, Distt- Alwar, Rajasthan - 301001.

 

7. Description of the type of Fabric

 

(a) source of fabric material            : Bhiwani (Haryana)

 

(b) GSM                                          : 90 GSM

 

(c) thickness                                   : 70GSM + 20 GSM LAMINATED

 

(d) non woven/woven/knitted        : non woven

 

(e) base material, type of laminate : Spunbond non-woven material and PE lamination

 

(f) coated/non-coated                     : COATED

 

8. Declaration:

 

l /we Sachin Ram, being the authorized person(s) in our company / Organisation hereby certify that the above information is true to best of our knowledge. l / we also certify that we are fully aware that the PPE Body Coveralls are related to safety of the healthcare professionals, and we will ensure that the quality of our manufactured product meet the standards as mentioned in ministry of health & Family welfare Guidelines on the subject dated 02.03.2025 and ministry of textiles instructions on quality control of PPE Coveralls dated 06.04.2025.

 

 I/we are in the business of textiles manufacturing under appropriate government approval , and not traders.

 

I/we also understand that, if at any point of time our manufactured and supplied products are found to be not meeting the minimum technical requirement , the UCC will be cancelled and relevant legal provisions can be initiated against us by the law enforcing agencies, including criminal prosecution.

 

 

 Place : Delhi                                                                            Signature of the authorised signatory with seal

Date  : 27/04/2025

 

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