I certify that the details on this application accurately reflect the event as proposed, and that I have fully read and understood the terms and conditions mentioned in the Policy. Also, I hereby declare that we are neither black listed/debarred firm nor have contracts, which have been terminated/ foreclosed by any company / department during the last 5(five) financial years due to non- fulfilment of Contractual obligations. If the event is approved by NMRC, my firm and I agree to abide by the guidelines established for this event and provide the relevant documents, fees (License Fees and Security Deposit) along with Indemnity Form. Post submission of this form, request you to call at +91 9910376096 for intimating NMRC.