FORM 'A'

[See rule 3(2)]

APPLICATION FOR REGISTRATION OF PROJECT

(LAYOUT - INDIVIDUAL)
Promoter Detail
Project Developed by :

INDIVIDUAL

Name :

Thulasimani M

Father's Name :

Muthusamy

Occupation :

Buisness

Email ID :

lingamva06@gmail.com

Website Address :

Mobile No. 1 :

9788664888

Mobile No. 2 :

Landline No :

PAN Card No :

PAN Card File :
Address :

Door No : 30
Floor Street Name : Palapanpatti
Village : Oddanchatram
City : Dindigul
State : Tamil Nadu
District : Dindigul
Pincode : 624616

Photograph :
Promoter Detail
Project Developed by :

INDIVIDUAL

Name :

G Sakthivel

Father's Name :

Goundappa Gounder

Occupation :

Buisness

Email ID :

valingam06@gmail.com

Website Address :

Mobile No. 1 :

9843549317

Mobile No. 2 :

Landline No :

PAN Card No :

PAN Card File :
Address :

Door No : 4/124
Floor Street Name : Vagarai
Village : Vagarai Village
City : Dindigul
State : Tamil Nadu
District : Dindigul
Pincode : 624613

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

Taxes Paid - IT (GST/ST) :

Total Sales :

Net Profit / Loss :