Applicant ID: KVAP227964-11279551

Office Name: KVIC-NTR -AP Agency: KVIC

1. Aadhaar Number 913235531168 2. Legal Individual
3. Applicant Name SMT. CHIMATA RAJYALAKSHMI
4. Gender : FEMALE 5. Date of Birth : 01-Jan-1985 Age 38
6. Social Category : Other Backward Caste 7. Special Not Applicable

8. Qualification : Under 8th 9. PAN No. : BOTPC3957E

4-79, SAVARIGUDEM
Address :
GANNAVARAM MANDALAM

10. District: NTR Pin Code: 521107

State: Andhra Pradesh E-mail ID: chimatarajyalakshmi1985@gmail.

Mobile No.1: 8886727297 Mobile No.2:

Address of Proposed Unit: SAVARIGUDEM VILLAGE ROAD

GANNAVARAM MANDALAM
11.
District: NTR Pin Code: 521107

State: Andhra Pradesh Unit Location : Rural

12. Type of Activity : Manufacturing SERVICE AND TEXTILE

Tailoring and preparation of Readymade Garments

13. Name of Activity :
TAILORING AND SAREES BUSINESS

14. Whether EDP Training No 15. Institution

16. Preferred Agency: KVIC

Capital 450000 Total:

17. Loan Required 500000
working Capital: 50000

CENTRAL BANK OF INDIA

1st Financing Bank Name and MUSTABADA

18.
Address STATION ROAD GANNAVARAM MANDAL MUSTABADA CITY -

KRISHNA IFS Code: CBIN0284882

19. Alternative Bank IFS Code:

I, CHIMATA RAJYALAKSHMI 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:12/22/22 1:12 PM Signature of Applicant

Report Print Date: 2023.January.19 AD 02:51 PM Page 1 of 1