eTracking Applicnt DIMH1819713-8379785

Office Name: KVIB-SANGLI-MAHARASTRA Agency: KVIB

1. Aadhaar Number 780137459484 2. Legal Individual
3. Applicant Name SHRI UMESH BABAJI KAMBLE
4. Gender : MALE 5. Date of Birth : 20-Jul-1977 Age 42
6. Social Category : Scheduled Caste 7. Special Not Applicable

8. Qualification : Under 8th 9. PAN No. : AOOPK7775G

Address for Communication: AT POST NARWAD TAL MIRAJ DIST SANGLI

MIRAJ

10. District: SANGLI Pin Code: 416409

State: Maharashtra E-mail ID:

Mobile No.1: 9595382228 Mobile No.2:

Address of Proposed Unit: AT POST NARWAD TAL MIRAJ DIST SANGLI

MIRAJ
11.
District: SANGLI Pin Code: 416409

State: Maharashtra Unit Location : Rural

12. Type of Activity : Service SERVICE AND TEXTILE

Tailoring and preparation of Readymade Garments

13. Name of Activity :
TAILORING AND PREPARATION OF READYMADE GARMENTS

14. Whether EDP Training No 15. Institution

16. Preferred Agency: KVIB

Capital 400000 Total:

17. Loan Required 500000
working Capital: 100000

UNION BANK OF INDIA

1st Financing Bank Name and MHAISAL

18.
Address Kabure Building,At Post:Mhaisal,Dist:Sangli, Maharashtra-416409

SANGLI IFS Code: UBIN0547174

19. Alternative Bank IFS Code:

I, UMESH BABAJI KAMBLE 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:9/18/18 9:24 AM Signature of Applicant

Report Print Date: 2019.July.25 AD 07:30 PM Page 1 of 1