Form of change in respect of information contained in statement required by sub-section (4) of section 13 of the Himachal Pradesh Shops and Commercial Establishment Act,1969. To The Inspector of Shops and Commercial Establishments Circle________________________________________ I hereby notify that the following change(s) has/have with effect from______________________________________(date taken place in respect of the information relating to my establishment as supplied by me in my statement dated _________________________________) My registration certificate number is____________________________________ dated ______________________________________ (Here mention the change) Dated: Signature of the employer Note:- (1) The change is required under sub-section(40 of section 13 of the Himachal Pradesh Shops and Commercial Establishments Act,1969 to be notified by the employer within seven days after the change has taken place. (2) Notice of change in this form shall be sent together with fees as per sub-rule (2) of rule 5.