eTracking Applicnt ID:

DIAP16172091-2255887

Office Name:

DIC-PRAKASAM-AP

Agency:

1.

Aadhaar Number :

592947896376

3.

Applicant Name

SHRI BURRI RAMA KRISHNA

4.

Gender :

MALE

5.

Date of Birth :

25-Jun-1984

6.

Social Category :

Other Backward Caste

7.

Special Category :

Not Applicable

Post Graduate

9.

PAN No. :

BFIPB0833E

8. Qualification :

2.

Legal Type :

DIC

Individual

Age

32 Yrs.

S/O VENKATESWARLU , 36-1-89

Address for Communication:
ANKAMMAPALEM , ONGOLE
10.

District: PRAKASAM

Pin Code: 523001

State: Andhra Pradesh

Mobile No.1: 8019305715

E-mail ID:
Mobile No.2:

36-1-89
Address of Proposed Unit:
ANKAMMAPALEM , ONGOLE
11.
District: PRAKASAM

Pin Code: 523001

State: Andhra Pradesh

12. Type of Activity :

Service

Unit Location : Urban

SERVICE AND TEXTILE

Others
13. Name of Activity :
MEDICAL AGENCY
14. Whether EDP Training Undergone :
16. Preferred Agency:

No

15.

Institution Name

DIC
Capital Expenditure: 800000

17. Loan Required

Total: 1000000
working Capital: 200000
IDBI BANK

18.

1st Financing Bank Name and

Address

ONGOLE
Devi Enclave, Trunk Road, Opp. Old Lic Office, Ongole 523001
PRAKASAM

IFS Code: IBKL0000738

19. Alternative Bank IFS Code:

I, BURRI RAMA KRISHNA Certify and declare that all the information provided above is true and correct. Any information
that may be required to be verify, shall be provided to the concerned authority.
Online Submission Date:1/4/17 3:47 PM

Report Print Date:

2017.January.28 AD 01:29 PM

Signature of Applicant

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