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தமிழ் வடிவம்

FORM 'A'

[See rule 3(2)]

APPLICATION FOR REGISTRATION OF PROJECT

(LAYOUT - INDIVIDUAL)
Promoter Detail
Project Developed by :

INDIVIDUAL

Name :

Thiruvengadam

Father's Name :

Perumal

Occupation :

Promoter

Email ID :

manisankar.lbs.018@gmail.com

Website Address :

Mobile No. 1 :

9600721682

Mobile No. 2 :

Landline No :

PAN Card No :

PAN Card File :
Address :

Plot No : 11/58
Floor Street Name : Ricemill Thottam
Village : Pallanatham, Mallapuram
City : Dindigul
State : Tamil Nadu
District : Dindigul
Pincode : 624703

Photograph :
Promoter Detail
Project Developed by :

INDIVIDUAL

Name :

kavitha

Husband b :

srinivasan

Occupation :

Promoter

Email ID :

manisankar.lbs.018@gmail.com

Website Address :

Mobile No. 1 :

9600721682

Mobile No. 2 :

Landline No :

PAN Card No :

PAN Card File :
Address :

Plot No : 81
Floor Street Name : Vallappampatti, Jameen Athur Post
Village : Ammapatti
City : Karur
State : Tamil Nadu
District : Karur
Pincode : 639203

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

Taxes Paid - IT (GST/ST) :

Total Sales :

Net Profit / Loss :

Bribery is against the Law

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