FORM 'A'

[See rule 3(2)]

APPLICATION FOR REGISTRATION OF PROJECT

(LAYOUT - INDIVIDUAL)
Promoter Detail
Project Developed by :

INDIVIDUAL

Name :

DHIVYA S

Father's Name :

MUTHU

Occupation :

BUISNESS

Email ID :

Karthiga3176@gmail.com

Website Address :

Mobile No. 1 :

8675098986

Mobile No. 2 :

9940098740

Landline No :

PAN Card No :

PAN Card File :
Address :

Door No : 2/18
Floor Street Name : MARIAMMAN KOVIL STREET
Village : KALAYANAPURAM
City : CHETPET
Taluk : CHETPET
State : Tamil Nadu
District : Tiruvannamalai
Pincode : 604502

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

Taxes Paid - IT (GST/ST) :

Total Sales :

Net Profit / Loss :