FORM 'A'

[See rule 3(2)]

APPLICATION FOR REGISTRATION OF PROJECT

(LAYOUT - INDIVIDUAL)
Promoter Detail
Project Developed by :

INDIVIDUAL

Name :

K.Amarnath Reddy

Father's Name :

Kalichetty Kameswara Reddy

Occupation :

Business

Email ID :

amarkalicheti99@gmail.com

Website Address :

Mobile No. 1 :

9444908830

Mobile No. 2 :

Landline No :

PAN Card No :

PAN Card File :
Address :

Plot No : 16-15-983, Flat No: 103
Floor Street Name : Devihala Heights Apartment, Near Childerns Park,
Village : Madhura Nagar
City : Nellore
State : Andhra Pradesh
District : Cudappah
Pincode : 520002

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

Taxes Paid - IT (GST/ST) :

Total Sales :

Net Profit / Loss :