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the submitted- details
'fhat any deviation fr
*),i.tuntty and deemed to
Wate I Act & Air Act.
L Tlrat I hai,e understood the provisions under which this acknor.r,ledgement
is issued to me and declard that all the information/ docr-lments subrnrLLccr
ale trLre ar[d correct and submission of incorrect/ wlong/ fabricatecl
inibrnlation will be vioiatioh ofthe ^.ct and Rules and lead to lcvocation oI
tre acIro{ledgemerrt. Thf submission ol incorrect/ wrong/ tabricated
inlormation is violation of Water (P|evention & Control of Pollutror)) Act
lor4 & lhe Aif (l)revdntion & Control of Pollution) Act 1981,
[:r]\'ifonrncdt (Protection),{ct, 1986 and information Technology Act 2002
anLl appropr]iate actiorr undfr provisions of Iaw can be initiated agailtst me.
lo. -l'har I hav( understood all legal implication ssociated wjth submrssrons
ad. ro t\e Rajasthan Slalq Pollution ConLrol Board.
(Signature of the applicant)
Verification
'/clilled .rt ... ... ....... .. ... on
lnls...............
acl(nowleddement inliuctu
will render' lhebe violations of the
(day, monLh arrdto the best of tny
year), rhat dreknowledge and
above c(Jrltcnts rlf this alfidavit
are tlue & correct
Irr licJ and nothirlg has been uon
ealed there lrom.
(Signature oi the applicaDt)
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