The Concerned Authority,
____________ (Name),
____________ (Address)

Date: __/__/____ (Date)

Subject: Declaration for the non-employment of child labor

Respected Sir/Madam,

I am writing this in order to declare that, I am __________ (Proprietor/ Authorized Signatory) of ___________ (Company/ Organization/ Institute – Mention Name) and my name is _________ (Name) and I do follow the “Child Labour Prohibition And Regulation Act _________ (Act Information)”.

I hereby declare that no child or minor is engaged in the ___________ (Staff/Labour) of the ___________ (Company/ Organization/ Institute – Mention) and if the above-said statement proves to be false I shall be liable for all penalties and legal actions taken against me.

Yours Truly,
For ___________ (Company Name)
_____________ (Signature)
_____________ (Name),
_____________ (Contact Number)

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