FORM 'A'

[See rule 3(2)]

APPLICATION FOR REGISTRATION OF PROJECT

(LAYOUT - INDIVIDUAL)
Promoter Detail
Project Developed by :

INDIVIDUAL

Name :

N.Gopal

Father's Name :

Neelaperumal

Occupation :

Business

Email ID :

rameshmani278@gmail.com

Website Address :

Mobile No. 1 :

9962545244

Mobile No. 2 :

Landline No :

PAN Card No :

PAN Card File :
Address :

Plot No : 27, Govindharajan Street
Floor Street Name : West Tambaram
City : Kancheepuram
State : Tamil Nadu
District : Chennai
Pincode : 600045

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

Taxes Paid - IT (GST/ST) :

Total Sales :

Net Profit / Loss :