SHIVSHAIfiI
                               CONSTRUCTIONS
                               BUITDERS & DEVETOPERS

                                                          Annexure - A


                                                                                            organization shall submit the
                                                   Partner / Proprietor of the Promoter
     << Everv Director / Designated Partner /
                                              public view >>
     following declaration, which shall be in

                                                       SUNIT SHAMRAO PATIT
     1.       Name:

                                                       NOT APPTICABLE
     2.       DIN / DPIN (lf applicable):
                                                                                                                   real estate
                                                        Partner /          Proprietor of anY or8anization whose
      3.      Are you a Director / Designated Partner /
                                 *"n     *u]' Iti"f *"t"Lt"v   outho;itv (RERA) across the country?
               proiect is registered
                                            '",
                                                       information:
               lf Yes, please provide the following
                                                                                                  nEn-A
                                                                                                     Reg',stration l'lurnb"r of




                Status of the Real Estate Projects
                                                       mentioned at point 3 above:
      4.

                                            Proposed           Any ComPlaints          Any Warrants        Has the Proiect
                      RERA
                                                                                       issued against      been revoked
                                            Date of            pending against
                      Registration                                                     the Proiect bY      by RERA? (Yes
                      Number                ComPletion         the Proiect in
                                                               RERA. lI Yes, the       RERA(Yes / No)      / No)
                                                               ComPlaint
                                                               Number




          Date: 06-02-2023
          Place: Aurangabad


                                                                                             M/S. SHIVSHAKTI




Office No A 603, A Wing, Space Olympia, Sutgirni Chowk, Garkheda, Aurangabad M. No. 9370287067