Applicant ID: DITN216966-10424673

Office Name: DIC-COIMBATORE-TN Agency: DIC

1. Aadhaar Number 774975334333 2. Legal Individual
3. Applicant Name SHRI MANIKANDAPRABHU V
4. Gender : MALE 5. Date of Birth : 22-Dec-1977 Age 44
6. Social Category : Other Backward Caste 7. Special Not Applicable

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

29.29/1 , NANDHA NAGAR, SINGANALLUR,
Address :
COIMBATORE SOUTH TK,

10. District: COIMBATORE Pin Code: 641005

State: Tamil Nadu E-mail ID:

Mobile No.1: 9445661371 Mobile No.2:

Address of Proposed Unit: 29.29/1 , NANDHA NAGAR, SINGANALLUR,

COIMBATORE SOUTH TK,

11.
District: COIMBATORE Pin Code: 641005

State: Tamil Nadu Unit Location : Urban

12. Type of Activity : Manufacturing REBT

Engg. Workshop
13. Name of Activity :
LATHE WORKSHOP

14. Whether EDP Training No 15. Institution

16. Preferred Agency: DIC

Capital 699858 Total:

17. Loan Required 699858
working Capital: 0

CANARA BANK

1st Financing Bank Name and ONDIPUDUR,COIMBATORE

18.
Address Post Box No. 3514, Trichy Road, ONDIPUDUR, Coimbatore 641016.

COIMBATORE IFS Code: CNRB0001238

19. Alternative Bank IFS Code: CNRB0001238

I, MANIKANDAPRABHU V 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:3/15/22 5:27 PM Signature of Applicant

Report Print Date: 2022.July.05 AD 11:07 PM Page 1 of 1