Scribd Logo
Upload

Welcome to Scribd!

  • Annexure A

    Uploaded by

    poongodimuthusamy
    742 views1 page
    K. Thalapathi from Namakkal, Tamil Nadu has applied for authorization to be a CLIA. He works in the Parmathi Velur branch of the Salem division. He is a CM club member with CLIA code M0053 76M and supervises 1 agent. He has a desktop computer, laser printer, and broadband internet connectivity through BSNL as required for the CLIA authorization.

    Original Description:

    Original Title

    ANNEXURE_A

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    K. Thalapathi from Namakkal, Tamil Nadu has applied for authorization to be a CLIA. He works in the Parmathi Velur branch of the Salem division. He is a CM club member with CLIA code M0053 76M and supervises 1 agent. He has a desktop computer, laser printer, and broadband internet connectivity through BSNL as required for the CLIA authorization.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    742 views1 page

    Annexure A

    Uploaded by

    poongodimuthusamy
    K. Thalapathi from Namakkal, Tamil Nadu has applied for authorization to be a CLIA. He works in the Parmathi Velur branch of the Salem division. He is a CM club member with CLIA code M0053 76M and supervises 1 agent. He has a desktop computer, laser printer, and broadband internet connectivity through BSNL as required for the CLIA authorization.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    ANNEXURE ‘A’

    (to be completed and e-mailed to co_cliapp@licindia.com)


    APPLICATION FOR AUTHORISATION TO BE USED BY CLIAs

    Name : K. Thalapathi

    Mailing Address –(With Pin Code) : S/o. Kumar


    Jedarpalayam (Po)
    P-Velur (Tk)
    Namakkal – 637 213

    Mobile No : 94434 99844

    E-mail ID : thalapathilic@gmail.com

    Branch : Parmathi Velur (76M)

    Division : Salem

    Agency Code Number : 0046076M

    Club membership (Corporate/CM/ZM/DM) : CM

    CLIA Code No. : M0053 76M

    (10) No. of supervised agents : 1

    (11)Do you have a computer? Desktop/Laptop/both: Yes/Desktop

    (12)Do you have a laser printer? : Yes/ Laser Printer

    (13)Do you have Internet connectivity? : Yes/Broadband (BSNL)

    (In the absence of computer, printer and internet, the authorization will not
    be given)

    You might also like