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Note:
1. The agency, any of its directors, owners or promoters has been debarred from the display of advertisement by any Corporation or Govt. or any agency owned and controlled by the Govt.
2. The agency, its directors, owners or promoters are in arrears of payment of any dues to the Corporation.
3. The Director of the agency or the Director of any company has been debarred from the display of advertisement by any Corporation or Govt. or any agency owned and controlled by the Govt.
4. The authorized signatory of the agency has earlier been the authorized signatory of any company in arrears of payment of any dues the Corporation. In view of above please submit necessary declarations.