FORM 'A'

[See rule 3(2)]

APPLICATION FOR REGISTRATION OF PROJECT

(LAYOUT - INDIVIDUAL)
Promoter Detail
Project Developed by :

INDIVIDUAL

Name :

K.K.S.V.T. Subbaraj

Father's Name :

Thiruvengadam

Occupation :

Business

Email ID :

thiruvankidamnagar@gmail.com

Website Address :

Mobile No. 1 :

9442250132

Mobile No. 2 :

Landline No :

PAN Card No :

AJIPS9483L

PAN Card File :
Address :

Door No : 2/221 Middle Street
Floor Street Name : Gopalapuram
Village : Palayampatti
City : Aruppukottai
Taluk : Aruppukottai
State : Tamil Nadu
District : Virudhunagar
Pincode : 626112

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

Taxes Paid - IT (GST/ST) :

Total Sales :

Net Profit / Loss :