FORM 'A'

[See rule 3(2)]

APPLICATION FOR REGISTRATION OF PROJECT

(LAYOUT - INDIVIDUAL)
Promoter Detail
Project Developed by :

INDIVIDUAL

Name :

Gunaseelan

Father's Name :

Rajan

Occupation :

Business

Email ID :

rmhassanr@gmail.com

Website Address :

Mobile No. 1 :

9884055061

Mobile No. 2 :

Landline No :

PAN Card No :

PAN Card File :
Address :

Plot No : Door No: 56
Floor Street Name : Dr.RadhakrishnanRoad
Village : Mylapore
City : Chennai
State : Tamil Nadu
District : Chennai
Pincode : 600004

Photograph :
Financial Indicators(Rs. in Lakhs)
Net Worth(Total Assets Less Liabilities) :

Taxes Paid - IT (GST/ST) :

Total Sales :

Net Profit / Loss :

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