eTracking Applicnt DIAP19202096-9102473

Office Name: DIC-KURNOOL-AP Agency: DIC

1. Aadhaar Number 269028320902 2. Legal Individual
3. Applicant Name SHRI DASARI RAMAKRISHNA
4. Gender : MALE 5. Date of Birth : 04-Jun-1983 Age 36
6. Social Category : Scheduled Caste 7. Special Not Applicable

8. Qualification : Graduate 9. PAN No. : AMHPD8659B

28-1060-1a-18, abdulla greencity, sai baba nagar

Address :
nandyal

10. District: KURNOOL Pin Code: 518501

State: Andhra Pradesh E-mail ID: wisys2012@gmail.com

Mobile No.1: 8309837685 Mobile No.2:

Address of Proposed Unit: 30/505,VIVEKANANDA STREET,BOGGULINE

NANDYAL
11.
District: KURNOOL Pin Code: 518501

State: Andhra Pradesh Unit Location : Urban

12. Type of Activity : Manufacturing POLY AND CHEM

Mfg. of PVC Pipe & other PVC items

13. Name of Activity :
GRADEN PIPE MANUFACTURING

14. Whether EDP Training No 15. Institution

16. Preferred Agency: DIC

Capital 2300000 Total:

17. Loan Required 2500000
working Capital: 200000

STATE BANK OF INDIA

1st Financing Bank Name and NUNEPALLE

18.
Address NEAR OVER-BRIDGE NATIONAL HIGHWAY KURNOOL- CUDDAPAH

KURNOOL IFS Code: SBIN0003731

19. Alternative Bank IFS Code: CNRB0001319

I, DASARI RAMAKRISHNA Certify and declare that all the information provided above is true and correct. Any
information that may be required to be verified, shall be provided to the concerned authority.It is also certified that
me or my spouse has not taken any subsidy underPMEGP Scheme or any similar Scheme of the State / Central
Government.

Online Submission Date:12/25/19 12:59 PM Signature of Applicant

Report Print Date: 2019.December.25 AD 01:00 PM Page 1 of 1