I, WE _________________________________ the applicant(s) (individual/

firm/company/association of persons/body of individuals) for registration as a

cable operator/Multi-System operator/renewal of registration as a cable
operator/Multi-System operator do hereby declare that:-

(i) We shall ensure that my/our cable television network shall be run
in accordance with the provisions of the Cable Television Networks
(Regulation) Act, 1995, and the rules made thereunder,
regulations, orders guidelines or the directions issued by the
Central Government or the Authority from time to time.
(ii) I/We shall not permit/associate any person who is not eligible to
run a cable television network under the Cable Television Networks,
(Regulation) Act, 1995 to run/with the rile running of my/our cable
television network.
 ..2..

(iii) (iii) I/We shall strive to the best of my/our ability to ensure that
my/our ability to provide cable service to the satisfaction of the
subscriber(s) of my / our cable television network.
(iv) (iv) I/We shall strive to the best of my/our ability to ensure that my
/ our cable television network is not used fro any unlawful purpose.
(v) I/We shall obtain the necessary approval/clearance from the
relevant authority for the running of my/our cable television
network.
(vi) I/We shall abide by any direct/on issued by the Central
Government in respect of the running of a cable television network
within India.
(vii) I/We shall transmit or re-transmit channels in the area notified
under section 4 A of the act in an encrypted form through a digital
addressable system and in the event of failure to do so, our
existing registration isliable to be cancelled.
I/We shall not carry programming service provided on the channels
generated in my/our level, which is inviolation of the Programme &
Advertising Codes prescribed in Rules 6 & 7.
I/We have not been convicted for a criminal offence.
I/We are not unsound mind as declared by a competent court;
I/We are not a undischarged insolvent.
I/We have submitted all the documents as prescribed in Form 1
(incase of cable operators) and Form 6 (incase of Multi-System
Operator).

Signature of Applicant
*(Individual/firm/company/association
of persons/body of individuals)

Place: _____________ Name___________________

Date: _____________ Address_________________

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AFFIDAVIT OF Mrs.V.KALA RAO

I, V.KALA RAO, W/o. Mr.Krishnarjuna Rao, aged about 44 years and residing at No.85,
86, 87, Old No.F6, 1st Block, Apple Orchards Residential Park, Arcot Road, Vadapalani,
Chennai-600 026, do hereby sincerely and solemnly affirm and state as follows:

I state that no appeal is preferred against O.S.No.2880/2005, dated 31.7.2009, passed by

XI Asst. Judge, City Civil Court at Chennai.
I state that I am in peaceful possession and enjoyment of the schedule mentioned property
without any encumbrances or claim.

I state that I will indemnify the Bank if any loss or damages occur due to suppression of
any fact or any claim against any third parties or my relatives regarding schedule
mentioned property.

I state that the criminal case against my mother Mrs.A.Sathyavathy and others also
disposed of and were convicted under several sections of I.P.C.

I state that the facts stated above are true to my knowledge and belief.

AFFIDAVIT FOR CONVERSION OF RELIGION

I, T.PREETHI, D/o. (Late) N.Thinakaran, aged about 26 years, residing at LIG 850, 18th

Cross Street, Mogappair Eri Scheme, Chennai-600 037, do hereby solemnly affirm as

follows:
 ..2..

That I am by Birth Hindu family and brought up in Hindu religious customs and
practices.

That in the course of my period, I deeply attracted towards Christianity and accepted
Jesus my God and Saviour.

That to lead my life in Christianity way, I decided to convert my religion to Christianity

without any force and compulsion or coercion.

That I am being peptized at Anna Velankanni Church, Valasaravakkam, Chennai-

600 087 and necessary formalities are done by the Church authorities. That swear this
affidavit that my conversion is not under compulsion or coercion and decided by me with
my full heart only and not influenced by other persons.

That the above stated facts are true and correct.

Solemnly affirmed at Chennai and signed her Deponent

Name in my presence on this 27th November 2017