Applicant ID: DIWB222036-11447256

Office Name: DIC-NORTH TWENTY FOUR PARGANS-WB Agency: DIC

1. Aadhaar Number 897460718029 2. Legal Individual
3. Applicant Name SMT. SOMA GHOSH
4. Gender : FEMALE 5. Date of Birth : 05-Jul-1968 Age 54
6. Social Category : General 7. Special Not Applicable

8. Qualification : Graduate 9. PAN No. : BPVPG3389B

Nandakumar Pally, Naihati Municipality, North 24 Parganas,WB

Address :
Nort 24 parganas

10. District: NORTH TWENTY FOUR PARGANS Pin Code: 743165

State: West Bengal E-mail ID:

Mobile No.1: 6290709295 Mobile No.2: 8910029055

Address of Proposed Unit: Nandakumar Pally, Naihati Municipality, North 24 Parganas,WB

Nort 24 parganas
11.
District: NORTH TWENTY FOUR Pin Code: 743165

State: West Bengal Unit Location : Urban

12. Type of Activity : Service SERVICE AND TEXTILE

Cable T.V. Network/ Computer Centre

13. Name of Activity :
Computer Cafe

14. Whether EDP Training No 15. Institution

16. Preferred Agency: DIC

Capital 200000 Total:

17. Loan Required 500000
working Capital: 300000

INDIAN BANK

1st Financing Bank Name and DEULPARA

18.
Address DEULPARA 27 RADHA BALLAR RD E KANTALPARA

CHITRAKOOT IFS Code: IDIB000D580

19. Alternative Bank IFS Code:

I, SOMA GHOSH 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:4/13/23 2:16 PM Signature of Applicant

Report Print Date: 2023.April.26 AD 01:11 AM Page 1 of 1