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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 :

J.Rejina Mary

Husband b :

Jesuraj

Occupation :

Business

Email ID :

ak14119243@gmail.com

Website Address :

Mobile No. 1 :

9952070594

Mobile No. 2 :

Landline No :

PAN Card No :

HAJPR7236D

PAN Card File :
Address :

Door No : 300
Floor Street Name : North Street, Pulickanmai, Paruthikanmai
City : Sivagangai
State : Tamil Nadu
District : Sivagangai
Pincode : 630551

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

Total Visitors : 2150330

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